Active NPI
Sellwood Senior Living LLC
- Assisted Living Facility
- Portland, OR
National Provider Identifier
1245816461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2018049 | Pacifica Sellwood Senior Living | Certificate of waiver | Jul 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.