Willamette Living Group LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WILLAMETTE LIVING GROUP LLC

Practice address

1466 SW 5TH PL
Gresham, OR 97080-6828

Phone

(503) 891-5648

NPI assigned

Dec 20, 2025

Last updated

Oct 6, 2026By 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

Phillip M Huber

Title

Managing Member

Phone

(503) 891-5648

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1766188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1205791324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 LAVONA DR NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043744",
            "telephone_number": "503-891-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 SW 5TH PL",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970806828",
            "telephone_number": "503-891-5648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2328 Elsie Ct NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973017422",
            "country_code": "US",
            "telephone_number": "503-891-5648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLAMETTE LIVING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-20",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-891-5648"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wildflower Counseling Collective LLC
• Jessica Ann Wilkerson, APRN-NP
• Leah Leanne Wilkinson
• Bridgette Marie Wilkison, LMT, NCBTMB
• Willamette
• Metta Elizabeth Kohn Willey, MD
• Allysia Williams, PWS,QMHA-R, CADC-R,
• Jamie Williams
• Joanna Marie Williams, OMHA
• Shelley June Williams, REGISTERED NURSE

• Substance Abuse Rehabilitation Facility in Gresham, OR
• Providers in Gresham, OR by specialty
• Substance Abuse Rehabilitation Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.