Thirty Three Oaks, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THIRTY THREE OAKS, LLC

Doing business as

The Oaks at Timberline

Practice address

400 E. 33Rd St.
Vancouver, WA 98663

Phone

(360) 696-2561

Fax

(360) 750-0665

NPI assigned

Sep 8, 2017

Organization subpart

No

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

Authorized official

Name

Brian Newberry

Title

Manager

Phone

(206) 418-2900

Specialties & licenses 1

Addresses

Other names 1

• The Oaks at Timberline Doing business as

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1215455365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 S. DRAPER PARKWAY",
            "address_2": "SUITE 242",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "84020",
            "telephone_number": "206-418-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E. 33RD ST.",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-696-2561",
            "fax_number": "360-750-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRTY THREE OAKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-418-2900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks at Timberline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.