Lawrence Convalescent Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

LAWRENCE CONVALESCENT CENTER

Practice address

812 SE 48TH Ave
Portland, OR 97215-1724

Phone

(503) 236-2624

Fax

(503) 233-9377

NPI assigned

Sep 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald Doane Snow, BS HCA

Title

Administrator

Phone

(503) 236-2624

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164525077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 SE 48TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151724",
            "telephone_number": "503-236-2624",
            "fax_number": "503-233-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 SE 48TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151724",
            "telephone_number": "503-236-2624",
            "fax_number": "503-233-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE CONVALESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "DOANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-236-2624",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS HCA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804724",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Lawler
• Rita Lawler, DVM
• Scott Irving Lawley, PHD, QMHP
• Jennifer K Lawlor, M.D.
• Jessica Lawlor
• Jesse Dakotah Lawrence-Pine, PMHNP
• Alexis Bobbette Lawrence, CSWA
• Caroline Lawrence
• Heather Lawrence
• Jennifer C Lawrence, MSW, LCSW

• Nursing Facility/Intermediate Care Facility in Portland, OR
• Providers in Portland, OR by specialty
• Nursing Facility/Intermediate Care Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.