Organization Active NPI

Affordable Staffing 365, LLC

  • Nursing Care Agency
  • Tigard, OR
National Provider Identifier
1669259586
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
AFFORDABLE STAFFING 365, LLC
Practice address
9780 SW Shady LN Ste 100
Tigard, OR 97223-5479
Phone
(971) 416-2607
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Peter R Stack
Title
President
Phone
(503) 805-3304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

9780 SW Shady LN Ste 100
Tigard, OR 97223-5479

Mailing address

9780 SW Shady LN Ste 100
Tigard, OR 97223-5479
Phone (971) 416-2607

National Provider Directory

National Provider Directory

Locations

9780 SW Shady Ln
Ste 100
Tigard, OR 97223
Phone (971) 416-2607

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1669259586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 SW SHADY LN STE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235479",
            "telephone_number": "971-416-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 SW SHADY LN STE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235479",
            "telephone_number": "971-416-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE STAFFING 365, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-805-3304"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.