Organization Active NPI

Sellwood Senior Living LLC

  • Assisted Living Facility
  • Portland, OR
National Provider Identifier
1245816461
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SELLWOOD SENIOR LIVING LLC
Practice address
8517 SE 17TH Ave
Portland, OR 97202-7347
Phone
(503) 782-6073
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Mr. Brian R Uhlir
Title
Sole Member
Phone
(530) 276-7390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8517 SE 17TH Ave
Portland, OR 97202-7347

Mailing address

2334 Washington Ave Ste a
Redding, CA 96001-2159
Phone (530) 276-7390

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2018049Pacifica Sellwood Senior Living8517 SE 17TH Avenue, Portland, OR 97202Certificate of waiverJul 2, 2027

National Provider Directory

National Provider Directory

Locations

2334 Washington Ave
Ste A
Redding, CA 96001

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1245816461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 WASHINGTON AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012159",
            "telephone_number": "530-276-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 SE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027347",
            "telephone_number": "503-782-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELLWOOD SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "UHLIR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "530-276-7390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.