Active NPIOrganization

3723 Fairview Industrial

Assisted Living Facility in Roseburg, Oregon

NPI Number1760509558
Practice location
1770 NW Valley View Dr, Roseburg, OR 97470-1778
Fax
—
Last updated
June 13, 2008

3723 Fairview Industrial is a healthcare organization based in Roseburg, OR. The NPI number for 3723 Fairview Industrial is 1760509558. The current practice location address is 1770 NW Valley View Dr, Roseburg, OR 97470-1778 and the office can be reached by phone at 541-673-3900. The NPI was assigned on March 25, 2007 and the record was last updated in NPPES on June 13, 2008.

●Provider Profile Details

NPI Number
1760509558
Provider Name
3723 Fairview Industrial
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Jon Harder · Manager · 503-485-4600
Enumeration Date
March 25, 2007
Last Update Date
June 13, 2008
NPI Status
Active

◉Business Practice Location Address

Address
1770 NW Valley View Dr
Roseburg, OR 97470-1778
State
Oregon
ZIP
97470-1778
Country
US
Phone Number
541-673-3900

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✉Business Mailing Address

Address
3723 Fairview Industrial Dr SE Ste 270
Salem, OR 97302-4975
City
Salem
State
OR
ZIP
97302-4975
Phone Number
503-485-4600

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Assisted Living Facility310400000XYes—OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 3723 Fairview Industrial?

The NPI number of 3723 Fairview Industrial is 1760509558. It was assigned on March 25, 2007 and is currently active in the NPPES registry.

What is the specialty of 3723 Fairview Industrial?

3723 Fairview Industrial is registered under the primary taxonomy Assisted Living Facility (code 310400000X).

Where does 3723 Fairview Industrial practice?

The practice location is 1770 NW Valley View Dr, Roseburg, OR 97470-1778. The office can be reached at 541-673-3900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760509558 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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