Longevity

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

14374 Issued in OR

Legal business name

LONGEVITY

Practice address

123 Laneda Ave
Manzanita, OR 97130

Phone

(503) 368-3800

NPI assigned

Mar 29, 2012

Last updated

Mar 29, 2012By 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

Miss Jamie E Ehrke, LMTNPI 1104192871

Title

Owner

Phone

(503) 368-3800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie E Ehrke, LMT

  • Specialist
  • Manzanita, OR
  • NPI 1104192871
  NPD (past) Authorized official

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1588930945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1313",
            "city": "MANZANITA",
            "state": "OR",
            "postal_code": "971301313",
            "telephone_number": "503-368-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LANEDA AVE",
            "city": "MANZANITA",
            "state": "OR",
            "postal_code": "97130",
            "telephone_number": "503-368-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "EHRKE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-368-3800",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "14374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie E Ehrke, LMT
• August A Fineout, APRN
• Scott Thomas Galvin
• Judi Hanson
• Kerry Elizabeth Lisitsky, DACM, LAC, MS, OT
• John Clark Miller, LCSW
• Deb Montgomery, LMHC
• Northwest Medical Foundation of Tillamook (Adventist Health/Tillamook Medical Group Manzanita Primary & Specialty)
• Orthopedic Toe Guard
• Pauseful LLC (Pauseful Massage & Botanicals)

• Community/Behavioral Health Agency in Manzanita, OR
• Providers in Manzanita, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.