Portland Adventist Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

14 1127 Issued in OR

Legal business name

PORTLAND ADVENTIST MEDICAL CENTER

Practice address

1015 3Rd St
Tillamook, OR 97141-8292

Phone

(503) 842-4444

Fax

(503) 815-2330

NPI assigned

Nov 25, 2005

Organization subpart

Yes

Parent organization

PORTLAND ADVENTIST MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Joyce L Newmyer

Title

Ceo

Phone

(503) 257-2500

Specialties & licenses 1

Addresses

Other names 1

• Adventist Health-Tillamook Home Care Services Doing business as

Part of

Portland Adventist Medical

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Portland Adventist Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1801887658
  NPPES parent name

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1861475642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16800",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971418292",
            "telephone_number": "503-842-4444",
            "fax_number": "503-815-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND ADVENTIST MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTLAND ADVENTIST MEDICAL CENTER",
        "enumeration_date": "2005-11-25",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWMYER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-257-2500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "14 1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health-Tillamook Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Persons
• Julie Peters Brainerd, RN
• Therese Thuytien Pham
• Alexandria Pilkington, PHARMD
• Todd A Pitts, MD
• Powerback Rehabilitation LLC
• Shannon Pullen
• Sara Pulver, THW
• Hugh C Ragle, CADC II
• Dove Rainbow, PA-C

• Home Health Agency in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Home Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.