Pacific Senior Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PACIFIC SENIOR CARE, LLC

Practice address

405 NE 5TH St
Gresham, OR 97030

Phone

(503) 666-5600

Fax

(503) 907-8911

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Paul Redhead

Title

Managing Member

Phone

(541) 954-1937

Specialties & licenses 1

Addresses

Other names 1

• Gresham Post Acute Care and Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1144247115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 NE 102ND AVE",
            "address_2": "STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-254-7923",
            "fax_number": "503-764-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NE 5TH ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-666-5600",
            "fax_number": "503-907-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "REDHEAD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "541-954-1937"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gresham Post Acute Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mona Marie Ozaki, PH.D.
• Clare Paas, M.S. CCC-SLP
• Anne Bordelon Pacheco, HEARING AID SPECIALI
• Pacific Eye Group, PC
• Pacific Psychology Group
• Pacific Wellness Pathway LLC
• Megan Padilla, PSY.D.
• Paeonia Wellness LLC
• David Pagano
• Tyler Page, PHARMD, RPH

• Skilled Nursing Facility in Gresham, OR
• Providers in Gresham, 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 Jul 25, 2019; 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.