Care Center (Willowbrook) Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CARE CENTER (WILLOWBROOK) INC.

Doing business as

Willowbrook Terrace

Practice address

707 SW 37TH St
Pendleton, OR 97801-3605

Phone

(541) 276-3374

Fax

(541) 276-5326

NPI assigned

Sep 22, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory J Vislocky

Title

Exec. VP of Finance

Phone

(360) 735-7155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willowbrook Terrace Doing business as

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144216367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626648",
            "telephone_number": "360-735-7155",
            "fax_number": "360-735-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SW 37TH ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013605",
            "telephone_number": "541-276-3374",
            "fax_number": "541-276-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTER (WILLOWBROOK) INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXEC. VP OF FINANCE",
        "authorized_official_telephone_number": "360-735-7155"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800056",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrook Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob W Cambier, MD
• Dana K Campbell
• Jennifer Eva Campbell, RDH
• Rita L. Campbell, RN
• Bryan Lee Canwell, PA-C
• Michael D Carlin, ARDMS
• Jhoana Viloria Carlos, PT
• Suzanne Ruth Carlson, QMHA
• Jennifer Carmichael, CADC II
• Charlies B Carnes Jr., CADC III

• Skilled Nursing Facility in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Skilled Nursing Facility in Oregon

• 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.