Timber MC, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TIMBER MC, LLC

Practice address

2875 14TH Ave SE
Albany, OR 97322-7078

Phone

(541) 967-9700

NPI assigned

Jul 13, 2020

Organization subpart

No

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

Authorized official

Name

Gregory A Roderick

Title

Member

Phone

(503) 443-1818

Specialties & licenses 1

Addresses

Other names 1

• Timberwood Court Doing business as

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1568080992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW BRIDGEPORT RD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247790",
            "telephone_number": "503-597-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 14TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973227078",
            "telephone_number": "541-967-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER MC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-443-1818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberwood Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Timberline SNF Healthcare LLC
• Trenton Jacob Tipton, PT, DPT
• Stephen Leonard Tischler, DDS
• Brandy Tolliver, APN
• Synthia Denice Toney, M.A., BCBA

• Assisted Living Facility in Albany, OR
• Providers in Albany, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.