NPIMap

Organization Active NPI

Oregon Wellness Network LLC

  • Health Educator
  • Keizer, OR
National Provider Identifier
1477050326
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
OREGON WELLNESS NETWORK LLC
Practice address
3410 Cherry Ave NE
Keizer, OR 97303-4924
Phone
(503) 304-3408
Fax
(503) 304-3434
NPI assigned
Apr 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Dr. Lavinia Goto, RN BSN MPH MBA DHANPI 1932473618
Title
Director of Operations
Phone
(503) 304-3408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

3410 Cherry Ave NE
Keizer, OR 97303-4924

Mailing address

3410 Cherry Ave NE
Keizer, OR 97303-4924
Phone (503) 304-3408

Other names 1

  • Oregon Association of Area Agencies on Aging & Disabilities Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181002001951 OR MDPP Supplier - in-Person MDPP Supplier 7719239714 1 other NPI on this enrollment
Practice locations: Enterprise, OR; Tillamook, OR; Silverton, OR; Salem, OR; Saint Helens, OR; Roseburg, OR; Monmouth, OR; Keizer, OR…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1477050326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 CHERRY AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034924",
            "telephone_number": "503-304-3408",
            "fax_number": "503-304-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 CHERRY AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034924",
            "telephone_number": "503-304-3408",
            "fax_number": "503-304-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON WELLNESS NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-08",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "GOTO",
        "authorized_official_first_name": "LAVINIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "503-304-3408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN BSN MPH MBA DHA"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Association of Area Agencies on Aging & Disabilities",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.