Provider Demographics
NPI:1528126992
Name:SALIGER, ROSIE P
Entity type:Individual
Prefix:MRS
First Name:ROSIE
Middle Name:P
Last Name:SALIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:OR
Mailing Address - Zip Code:97535-9787
Mailing Address - Country:US
Mailing Address - Phone:541-535-6308
Mailing Address - Fax:
Practice Address - Street 1:701 1ST ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:OR
Practice Address - Zip Code:97535-9787
Practice Address - Country:US
Practice Address - Phone:541-535-6308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1513-570395-0705-COM311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1513-570395-0705-COMOtherADULT FOSTER HOME