Deerfield Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1431144356 Issued in OR

Legal business name

DEERFIELD LIMITED PARTNERSHIP

Doing business as

Deerfield Village Assisted Living

Practice address

5770 SE Kellogg Creek Dr
Milwaukie, OR 97222-2128

Phone

(503) 653-4064

Fax

(503) 659-4525

NPI assigned

Jun 20, 2008

Last updated

Jun 20, 2008By 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

Elizabeth Marie Moss

Title

Director of Risk Management

Phone

(503) 588-2725

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deerfield Village Assisted Living Doing business as

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1164683207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE AVE SE STE A140",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015092",
            "telephone_number": "503-588-2725",
            "fax_number": "503-588-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 SE KELLOGG CREEK DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222128",
            "telephone_number": "503-653-4064",
            "fax_number": "503-659-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "503-588-2725"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "1431144356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533950",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deerfield Village Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan De Mena, CERTIFIED OCCUPATION
• Janel De Moses, MOTR/L
• Ryan Albert Deahn
• Ellecia Decouteau
• Erica Marie Decouteau
• Allison J Dehaan, OTR/L
• Kami Deheer, PTA
• Fitsum N Dejene
• Jordan Dela Cerna, PT
• Felice Dela Cruz

• Assisted Living Facility in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.