Laurel Pines Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

LAUREL PINES INC

Practice address

3100 Avenue a
White City, OR 97503-1715

Phone

(541) 830-7800

Fax

(541) 830-7802

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Melissa Harris-Plance

Title

Billing Manager

Phone

(503) 580-4416

Specialties & licenses 1

Addresses

Other names 1

• Laurel Pines Retirement Lodge Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1750907317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 AVENUE A",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031715",
            "telephone_number": "541-830-7800",
            "fax_number": "541-830-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 AVENUE A",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031715",
            "telephone_number": "541-830-7800",
            "fax_number": "541-830-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL PINES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS-PLANCE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "503-580-4416"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Pines Retirement Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Karl Kuehn, RTR
• Alisha Kuriakose, PHARM.D
• Shoshanna Landen, PH.D.
• Michelle A Lantron, LCSW
• Elizabeth Latty, PH.D.
• Amy Laursen, RN, BSN
• Nam Viet Le, PHARMD
• Jacqueline D Lebrun, AUD
• Rebecca A. Leggett, APRN-BC
• Annette Lenners, PHARMD

• Custodial Care Facility in White City, OR
• Providers in White City, OR by specialty
• Custodial Care Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.