W2 POWELL VALLEY LLC NPI 1861092520

NPI Information

NPI: 1861092520
Provider Name: W2 POWELL VALLEY, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 38D2197499

Address:
4001 SE 182ND AVE
GRESHAM, OR
ZIP 97030
Phone: (503) 665-2496
Get Directions

W2 POWELL VALLEY, LLC is an assisted living facility in Gresham, OR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. W2 POWELL VALLEY, LLC NPI is 1861092520. The provider is registered as an organization entity type.

The provider's business location address is:

4001 SE 182ND AVE
GRESHAM, OR
ZIP 97030-063
Phone: (503) 665-2496

The provider's authorized official is Trevor Wart .
The authorized official title is Manager and has the following contact phone number (503) 706-6918.

The CLIA number assigned to this NPI record is 38D2197499 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2020 and was last updated on 10/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »