Well Frontier Tenant, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WELL FRONTIER TENANT, LLC

Practice address

8915 SE Monterey Ave
Happy Valley, OR 97086-7509

Phone

(503) 654-3200

Fax

(503) 654-3800

NPI assigned

Mar 28, 2019

Last updated

Mar 28, 2019By 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

Gregory A. Roderick

Title

Authorized Rep.

Phone

(503) 443-1818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1720549041",
    "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",
            "fax_number": "503-443-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 SE MONTEREY AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867509",
            "telephone_number": "503-654-3200",
            "fax_number": "503-654-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL FRONTIER TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "AUTHORIZED REP.",
        "authorized_official_telephone_number": "503-443-1818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ward, MA
• Patricia A Weaver, R.N.
• Patrick Webinger, DPT
• Athena C Weggler, LMHC, LPC
• Martha Wegner, OTD, OTR/L
• Werq Together (Trans Relocation Fund & Aid Network)
• Amy E White, LCSW
• Katherynn Angela Whitehead, LMT
• Lauren Ilona Wikholm
• Jenny Williams, LCSW

• Assisted Living Facility in Happy Valley, OR
• Providers in Happy Valley, 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 Mar 28, 2019; 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.