Blossom Valley Wenatchee

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

BH 1783 Issued in WA

Legal business name

BLOSSOM VALLEY WENATCHEE

Practice address

1701 Orchard Ave
Wenatchee, WA 98801-4702

Phone

(509) 667-0990

Fax

(503) 485-1495

NPI assigned

Feb 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jon Harder

Title

Ceo President

Phone

(503) 485-4600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063556504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-485-4600",
            "fax_number": "503-485-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 ORCHARD AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988014702",
            "telephone_number": "509-667-0990",
            "fax_number": "503-485-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM VALLEY WENATCHEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "503-485-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH 1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Loraine Blankenship, PA-C
• Blanksma Chiropractic Clinic
• Pete L Blanksma, D.C.
• David C Blood, MD
• Blossom Valley Behavioral Health, LLC
• Fred P Bockenstedt, MD
• Mabel Amelia Bodell, MD
• Krista Miller Bodrey, M.D.
• Daniel Boers, DDS, MPH
• Alexandra L Bohn, LMP

• Assisted Living Facility in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.