Columbia Basin Bath Renovation LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

195517 Issued in OR

Legal business name

COLUMBIA BASIN BATH RENOVATION LLC

Practice address

736 Randall St
Umatilla, OR 97882-9501

Phone

(541) 701-5341

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Scott Alan Moore, CONTRACTOR

Title

Owner

Phone

(541) 701-5341

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1437693264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 RANDALL ST",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "978829501",
            "telephone_number": "541-701-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 RANDALL ST",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "978829501",
            "telephone_number": "541-701-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BASIN BATH RENOVATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-701-5341",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CONTRACTOR"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "OR",
            "license": "195517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Capote
• Janice Carey
• Robert Sterling Carr, DMD
• Cody Charles Chase, MSW
• Bibiana Cisneros
• Columbia River Pharmacy
• Loyce Condit
• Cameron Clay Cordova
• Beatriz Covarrubias Ortiz
• Rachel Craig

• Home Modifications Contractor in Umatilla, OR
• Providers in Umatilla, OR by specialty
• Home Modifications Contractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.