Marjorie House McMinnville, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

MARJORIE HOUSE MCMINNVILLE, LLC

Doing business as

Marjorie House Memory Care

Practice address

2855 NE Cumulus Ave
McMinnville, OR 97128-8864

Phone

(503) 474-4222

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Michael Wallace Wright

Title

Manager

Phone

(801) 809-3958

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marjorie House Memory Care 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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1912522830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 NE CUMULUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288864",
            "telephone_number": "503-474-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 NE CUMULUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288864",
            "telephone_number": "503-474-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE HOUSE MCMINNVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-809-3958"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52-5856",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marjorie House Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jameela Maret, DDS
• Leeann Margiotta
• Lauren Cecile Margolis
• Concepcion Marin Cuellar
• Dalina Marin
• Che William Markham
• Lauryn E Marks, DMD
• Jacqueline Maroncelli
• Juanita Rose Marquez
• Jenna Marrant, LMT

• Alzheimer Center (Dementia Center) in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Alzheimer Center (Dementia Center) in Oregon

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