MP, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

NO NUMBER ASSIGNED Issued in OR

Legal business name

MP, LLC

Practice address

11520 SE Sunnyside Rd
Clackamas, OR 97015-4306

Phone

(503) 698-1600

Fax

(503) 652-0168

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John B Goodman

Title

President of Managing Member

Phone

(952) 361-8000

Specialties & licenses 1

Addresses

Other names 1

• MIRAMONT POINTE 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

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760427488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "SUITE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "952-361-8000",
            "fax_number": "952-361-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970154306",
            "telephone_number": "503-698-1600",
            "fax_number": "503-652-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGING MEMBER",
        "authorized_official_telephone_number": "952-361-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "NO NUMBER ASSIGNED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRAMONT POINTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry A Morrow, MD
• Andrew Arthur Moschogianis, DDS
• Jeffrey Ryan Mosher, PSY.D.
• Carrie Mostul, NURSE PRACTITIONER
• Krista Moylan, CRNA
• Mt. Scott Endodontics, PC
• Mt. Scott Surgery Center, LLC
• Anna A Muchnik, DO
• Karen Smith Mularski
• Richard Anthony Mularski, MD, MCR, MSHS

• Assisted Living Facility in Clackamas, OR
• Providers in Clackamas, 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 Aug 22, 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.