NPI 1225626765

Pacific Northwest Living LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Salem, OR

Practice location

Address: 4392 Coloma Dr SE, Salem, OR 97302-5076
Phone: (971) 301-8831
Fax: (971) 301-8862

Authorised official

Name: Rosella Mary Miltimore
Title: Executive Director
Phone: (503) 765-0454

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1225626765
Entity type: Organization
NPI issued: 8 Jan 2021
Record last updated: 8 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.

Contact

(971) 301-8831 Open in maps

This is the number in the registry. Confirm before relying on it - practices move.

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