RSL TUALATIN LLC NPI 1477179208

NPI Information

  • NPI: 1477179208
  • Provider Name: RSL TUALATIN, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 38D2197552
  • Address: 17950 SW 115TH AVE
    TUALATIN, OR
    ZIP 97062
  • Phone: (503) 692-1748

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NPI Details

RSL TUALATIN, LLC is an assisted living facility in Tualatin, 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. RSL TUALATIN, LLC NPI is 1477179208. The provider is registered as an organization entity type.

The provider's business location address is:

17950 SW 115TH AVE
TUALATIN, OR
ZIP 97062-044
Phone: (503) 692-1748
Fax: (503) 691-2759

The provider's authorized official is James Guffee .
The authorized official title is President Of Manager and has the following contact phone number (503) 595-2810.

The CLIA number assigned to this NPI record is 38D2197552 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2020 and was last updated on 6/17/2020.

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
1311500000XAlzheimer Center (Dementia Center)No
2310400000XAssisted Living FacilityYes

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
1522964MEDICAIDOREGON
21392751037OTHEROREGONRESIDENTIAL CARE FACILITY LICENSE
3522965MEDICAIDOREGON

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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