Pacific Northwest Living Llc
LBN: Pacific Northwest Living Llc
Pacific Northwest Living Llc is an health care organization with primary practice located at 4392 Coloma Dr Se , Salem OR 97302-5076. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Pacific Northwest Living Llc can be contacted via phone (971) 301-8831, or through Miltimore, Rosella Mary via phone (503) 765-0454.
Contact Information
Primary practice address
4392 Coloma Dr Se
Salem OR 97302-5076
Phone: (971) 301-8831
Fax: (971) 301-8862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1225626765 |
|---|---|
| LBN Legal business name | Pacific Northwest Living Llc |
| DBA Doing business as | |
| Authorized official | Miltimore, Rosella Mary OWNER/OPERATOR |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2021 |
| Last updated | Jan 8th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225626765 | NPPES |
| Oregon | MEDICAID | DZ1463 | |
| Oregon | Other | DZ1463 |
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