Rosie P Saliger

Individual provider Active NPI Adult Care Home Facility · Phoenix, OR

NPI 1528126992 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1528126992
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
1513-570395-0705-COM (OR)
Practice address
701 1St St
Phoenix, OR 97535-9787
Phone
(541) 535-6308
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1513-570395-0705-COMORMDAdult Care Home Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 1513-570395-0705-COM OR Yes

Addresses

Primary practice location

701 1St St
Phoenix, OR 97535-9787

Mailing address

701 1St St
Phoenix, OR 97535-9787
Phone (541) 535-6308

Other identifiers

IdentifierTypeStateIssuer
1513-570395-0705-COMOtherORADULT FOSTER HOME

Other providers in Phoenix, OR

All providers in Phoenix, OR · Adult Care Home Facility in Oregon

Sources for this page

Verify at the official NPI Registry.