WILLAMETTE VALLEY HOSPICE INC NPI 1093715070

NPI Information

  • NPI: 1093715070
  • Provider Name: WILLAMETTE VALLEY HOSPICE INC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Other Name: WILLAMETTE VALLEY HOSPICE
  • CLIA Number: 38D1087295
  • Address: 1015 3RD ST NW
    SALEM, OR
    ZIP 97304
  • Phone: (503) 588-3600

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NPI Details

WILLAMETTE VALLEY HOSPICE INC is a hospice care community based in Salem, OR. WILLAMETTE VALLEY HOSPICE INC NPI is 1093715070. The provider is registered as an organization entity type.
The provider Other Name Is Willamette Valley Hospice.

The provider's business location address is:

1015 3RD ST NW
SALEM, OR
ZIP 97304-007
Phone: (503) 588-3600
Fax: (503) 363-3891

The provider's authorized official is Terry Lynn Dethrow .
The authorized official title is Finance Manager and has the following contact phone number (503) 779-2308.

The CLIA number assigned to this NPI record is 38D1087295 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 1/9/2019.

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
1251G00000XHospice Care, Community BasedN/AOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18008493OTHEROREGONREGENCE
2132212MEDICAIDOREGON
3112347OTHEROREGONKAISER PERMANENTE

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: 3/30/2025

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