FM Oaks, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FM OAKS, LLC

Doing business as

Oaks at Lebanon

Practice address

621 W Oak St
Lebanon, OR 97355-1788

Phone

(541) 258-7777

Fax

(541) 258-7798

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Gregory Roderick

Title

Member

Phone

(503) 443-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oaks at Lebanon Doing business as

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1326664947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW BRIDGEPORT RD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247790",
            "telephone_number": "503-597-4906",
            "fax_number": "503-443-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W OAK ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973551788",
            "telephone_number": "541-258-7777",
            "fax_number": "541-258-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM OAKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-443-1818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524493",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oaks at Lebanon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Sue Finnegan, RNFA
• Jessica Marie Fischer
• Charles L Fitzsimons
• Victor Michael Flores, DPT
• Sabrina Estel Flowers, AAS, NCMA, CADC-R
• Payton Fode
• Alden P. Forrester, M.D.
• Foster Relief Limited Liability Company
• Andrea M Franks, LMT
• Angie Marie Frederic, RD, LD, CDE

• Assisted Living Facility in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.