Colonial Gardens

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COLONIAL GARDENS

Practice address

1890 Newberg Hwy
Woodburn, OR 97071-3100

Phone

(503) 982-4000

NPI assigned

Mar 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Harder

Title

Manager

Phone

(503) 485-4600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568589356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 FAIRVIEW INDUSTRIAL DR SE STE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024975",
            "telephone_number": "503-485-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 NEWBERG HWY",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970713100",
            "telephone_number": "503-982-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-485-4600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Christiansen, PA-C
• Denise Chun
• Curtis Mark Climer, MD
• Kimberly Louise Clinite, MD
• Rachel Ann Cohen, OTD
• Stephen Joseph Comella, LPC, MAC, CADC III
• Adrian Alejandro Contreras, PHARMD
• Rigoberto E Contreras, CADC I
• Christian Albert Cooper
• Julie A Cooper, PT

• Assisted Living Facility in Woodburn, OR
• Providers in Woodburn, 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 Aug 22, 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.