Pacific Living Centers North, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PACIFIC LIVING CENTERS NORTH, LLC

Doing business as

Harmony House of Salem
Hawthorne House of Salem
Heritage House of Woodburn

Practice address

943 N Cascade Dr
Woodburn, OR 97071-3140

Phone

(503) 982-1506

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Carl Mason

Title

Coo

Phone

(503) 826-5190

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 3

• Harmony House of Salem Doing business as
• Hawthorne House of Salem Doing business as
• Heritage House of Woodburn Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1710631999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25260 SW PARKWAY AVE STE B",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706627",
            "telephone_number": "503-826-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 N CASCADE DR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970713140",
            "telephone_number": "503-982-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3062 Hyacinth St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973016715",
            "country_code": "US",
            "telephone_number": "503-588-0722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3042 Hyacinth St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973016715",
            "country_code": "US",
            "telephone_number": "503-588-0722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC LIVING CENTERS NORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "503-826-5190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS APD",
            "identifier": "8179649107",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS APD",
            "identifier": "4142590487",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS APD",
            "identifier": "5404019748",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@pacificlivingcenters.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "943 N Cascade Dr",
            "city": "Woodburn",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970713140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Harmony House of Salem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hawthorne House of Salem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage House of Woodburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aida Ornelas Pineda
• Oyen Cuidate Oregon
• Oyen LLC (Oyen)
• Jenna Marie Oyer, RN
• Pacific Heart Associates PC
• Roopa Pandit
• Micheen Panosh, MSW, ACSW
• Brian James Parker, RN
• Lesley Maclean Parker
• Rachel Parker, L.M.T

• Assisted Living Facility (Mental Illness) in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Assisted Living Facility (Mental Illness) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.