Laurelhurst Village LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAURELHURST VILLAGE LLC

Practice address

3060 SE Stark St
Portland, OR 97214-3053

Phone

(503) 535-4700

Fax

(503) 797-6702

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Teresa Lee Waloroff, RN MS

Title

Ceo

Phone

(503) 595-2810

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1346288362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143053",
            "telephone_number": "503-535-4700",
            "fax_number": "503-797-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143053",
            "telephone_number": "503-535-4700",
            "fax_number": "503-797-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELHURST VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WALOROFF",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-595-2810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800093",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurelhurst Family Clinic
• Laurelhurst Operations, LLC
• Laurelhurst Physical Therapy Clinic
• Laurelhurst Physical Therapy Clinic
• Laurelhurst SNF Operations LLC
• Laurelhurst Women'S Clinic
• Laurelwood Dental LLC
• Lauren Deisenroth Pmhnp-BC LLC
• Lauren Hoffman Psychotherapy LLC
• Lauren McCabe DC PC

• Skilled Nursing Facility in Portland, OR
• Providers in Portland, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.