Olthyme LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

OLTHYME LLC

Practice address

30803 Jeppeson LN
Hermiston, OR 97838-6222

Phone

(541) 289-8941

Fax

(541) 289-8942

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By 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

Daniel Scott Mack

Title

Owner

Phone

(541) 289-8941

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1831660984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30803 JEPPESON LN",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386222",
            "telephone_number": "541-289-8941",
            "fax_number": "541-289-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30803 JEPPESON LN",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386222",
            "telephone_number": "541-289-8941",
            "fax_number": "541-289-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLTHYME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-289-8941"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Norquist, RN
• Annie Elaine Nunley, PA-C
• Tracia Nunnally, CADC-R
• Asuzena Kay Ochoa, CRM
• Jennifer L Offer, LMSW
• Guy Eugene Oltman, M.D.
• Jessica L Oltman, FNP
• Jonas H Oltman, D.O.
• Joaquina Ordonez Cruz de Pablo
• Oregon Pip Dental Group, PC (Advanced Pediatric Dentistry of Hermiston)

• Mental Illness Community Based Residential Treatment Facility in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.