Newberg Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NEWBERG ALF, LLC

Doing business as

Willow Place

Practice address

1307 N College St
Newberg, OR 97132-7395

Phone

(503) 537-9100

NPI assigned

Jun 11, 2020

Organization subpart

No

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

Authorized official

Name

Peter Verdieck

Title

Evp Finance & Administration

Phone

(503) 255-4647

Specialties & licenses 1

Addresses

Other names 1

• Willow Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1194340497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159502",
            "telephone_number": "503-255-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N COLLEGE ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327395",
            "telephone_number": "503-537-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERG ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "VERDIECK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EVP FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "503-255-4647"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Napier
• Nathan Higa LLC
• Amber L Nelson, PSYD
• Megan Taylor Nelson, LMT
• New Horizons Mental Health LLC
• Newberg Community Dental
• Newberg Counseling & Wellness, LLC
• Newberg Family Chiropractic PC
• Newberg Family Eye Care LLC (Newberg Family Eye Care)
• Newberg Family Practice, LTD (An C. Vu, M.D.)

• Assisted Living Facility in Newberg, OR
• Providers in Newberg, 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 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.