Active NPI
Living Islands Non-Profit
- Voluntary or Charitable Agency
- Lake Oswego, OR
National Provider Identifier
1104568187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- LIVING ISLANDS NON-PROFIT
- Practice address
- 1585 Patton Rd
Lake Oswego, OR 97034-6047 - Phone
- (971) 220-5484
- NPI assigned
- Apr 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jesper Rorbye Angelo
- Title
- Cio/Coo
- Phone
- (360) 430-7660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
1585 Patton Rd
Lake Oswego, OR 97034-6047
Mailing address
PO Box 366
Lake Oswego, OR 97034-0366
Phone (971) 220-5484
Other names 1
- LIVING ISLANDS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768521600000",
"number": "1104568187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970340366",
"telephone_number": "971-220-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 PATTON RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970346047",
"telephone_number": "971-220-5484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING ISLANDS NON-PROFIT",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-11",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A",
"authorized_official_last_name": "ANGELO",
"authorized_official_first_name": "JESPER",
"authorized_official_middle_name": "RORBYE",
"authorized_official_title_or_position": "CIO/COO",
"authorized_official_telephone_number": "360-430-7660",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LIVING ISLANDS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.