Claydavisstroud - Oregon, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

70M248 Issued in OR

Legal business name

CLAYDAVISSTROUD - OREGON, LLC

Practice address

1550 NW 11TH St
Hermiston, OR 97838-6692

Phone

(541) 564-2595

Fax

(541) 564-3087

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Laura L. Young, RN

Title

Administrator

Phone

(541) 564-2595

Specialties & licenses 1

Addresses

Other names 1

• Sun Terrace Hermiston 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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972633261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386692",
            "telephone_number": "541-564-2595",
            "fax_number": "541-564-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NW 11TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386692",
            "telephone_number": "541-564-2595",
            "fax_number": "541-564-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYDAVISSTROUD - OREGON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-564-2595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "70M248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Terrace Hermiston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Rae Christensen, ARNP
• Devin L Christensen, MASSAGE THERAPIST
• Ryla Ellen Christianson
• Debra A. Christy, LPC, LMFT
• Jacinda Clark, RN
• Clear Chiropractic Solutions Inc
• Kristine M Clements, ARNP
• Paul Coffel, OTR/L
• Becky A. Collier, O.D.
• Columbia Basin Wellness Clinic, Inc.

• All providers in Hermiston, OR
• 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.