Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Providence Irvington Village Assisted Living

Provider Information


Providence Irvington Village Assisted Living

420 NE MASON
Portland, OR 97211

Provider ID
70A271
Administrator
Stephanie Simmons
Phone
(503) 546-9292
Email
stephanie.simmons@providence.org

Additional Provider Details


This provider has one or more active conditions on its license.
ID
70A271
Status
Open
Type
Assisted Living Facility
Licensed beds
130
Accepts Medicaid
Yes
Memory Care
No
Owner
Providence Health & Services-Oregon

1801 LIND AVENUE SW
Renton, 98057


Owner since
12/31/2009

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.