Active NPI
The Cottages Opco LLC
- Alzheimer Center (Dementia Center)
- Portland, OR
National Provider Identifier
1295553394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- Legal business name
- THE COTTAGES OPCO LLC
- Practice address
- 1808 SE 182ND Ave
Portland, OR 97233-5120 - Phone
- (503) 492-6942
- NPI assigned
- Sep 28, 2024
- 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
- Trevor Wart
- Title
- Member Manager
- Phone
- (503) 706-6918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | Primary |
Addresses
Primary practice location
1808 SE 182ND Ave
Portland, OR 97233-5120
Mailing address
1808 SE 182ND Ave
Portland, OR 97233-5120
Phone (503) 492-6942
Other names 1
- The Cottages Senior Living Memory Care
National Provider Directory
National Provider DirectoryLocations
1808 SE 182nd Ave
Portland, OR 97233
Phone (503) 492-6942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727481600000",
"number": "1295553394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 SE 182ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972335120",
"telephone_number": "503-492-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 SE 182ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972335120",
"telephone_number": "503-492-6942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE COTTAGES OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-28",
"last_updated": "2024-09-28",
"certification_date": "2024-09-28",
"status": "A",
"authorized_official_last_name": "WART",
"authorized_official_first_name": "TREVOR",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "503-706-6918"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Cottages Senior Living Memory Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.