Wilsonville Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WILSONVILLE HEALTHCARE LLC

Practice address

29702 SW Town Center Loop W
Suite C
Wilsonville, OR 97070-6481

Phone

(503) 482-5570

Fax

(503) 855-3058

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Judith Ann Schierholz

Title

Managing Director

Phone

(971) 998-8755

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sasha Marie Preston, FNP-C

  • Family Nurse Practitioner
  • Tigard, OR
  • NPI 1760849780
  NPD (past)

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1356716377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29702 SW TOWN CENTER LOOP W",
            "address_2": "SUITE C",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706481",
            "telephone_number": "503-482-5570",
            "fax_number": "503-855-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29702 SW TOWN CENTER LOOP W",
            "address_2": "SUITE C",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706481",
            "telephone_number": "503-482-5570",
            "fax_number": "503-855-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSONVILLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHIERHOLZ",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "971-998-8755"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500696731",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Willis
• Freedom Wilson
• Wilsonville Chiropractic Clinic, P.C.
• Wilsonville Dental Group
• Wilsonville Dental Group PC
• Wilsonville Natural Medicine, LLC
• Wilsonville Smiles PC
• Wilsonville Vision Center PC
• Windfield Village
• Jeanene Teresa Wold, LMT

• Family Nurse Practitioner in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.