Chancellor Health Care of California IX, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHANCELLOR HEALTH CARE OF CALIFORNIA IX, INC.

Doing business as

Clackamas View Senior Living

Practice address

14550 SE Vista LN
Milwaukie, OR 97267-1731

Phone

(503) 659-2325

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Cluney Stagg

Title

President & Chief Finacial Officer

Phone

(707) 291-3582

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clackamas View Senior Living Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1881211852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JOHNSON ST",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954927435",
            "telephone_number": "707-291-3582",
            "fax_number": "707-687-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 SE VISTA LN",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972671731",
            "telephone_number": "503-659-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCELLOR HEALTH CARE OF CALIFORNIA IX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "STAGG",
        "authorized_official_first_name": "CLUNEY",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF FINACIAL OFFICER",
        "authorized_official_telephone_number": "707-291-3582"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527025",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CV.ED@chancellorhealthcare.com",
            "affiliation": "N",
            "address_1": "14550 SE Vista Ln",
            "city": "Milwaukie",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972671731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clackamas View Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anabeth Chamberlin
• Anita Y Chan, MD
• Ashley A Chan, FNP
• Michael Ming-Yin Chan, M.D.
• Benjamin Chance, OD
• David A Chapla, OTR
• Cailee Chapman
• Douglas Andrew Chapman
• Erin Janelle Chapman, PT ASSISTANT
• Taylor Charbonnier, DPT

• Assisted Living Facility in Milwaukie, OR
• Providers in Milwaukie, 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 Jun 25, 2020; 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.