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NEWBERG ALF, LLC
NPI 1194340497
Assisted Living Facility in Newberg, OR

Active since June 11, 2020CLIA 38D2194731 · Waiver
1307 N COLLEGE ST, NEWBERG, OR 97132(503) 537-9100 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Newberg Alf, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEWBERG ALF, LLC (NPI 1194340497), doing business as Willow Place, is a healthcare organization registered as an assisted living facility in Newberg, Oregon and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Peter Verdieck, Evp Finance & Administration, as its authorized official.

NPPES Registry Identity

NPI1194340497
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNEWBERG ALF, LLC
Location Address1307 N COLLEGE STNewberg, OR 97132-7395
Mailing Address15900 Se 82nd DrClackamas, OR 97015-9502 · (503) 255-4647
Phone(503) 537-9100
Organization SubpartNo
Authorized OfficialPeter VerdieckEvp Finance & Administration · (503) 255-4647
Enumeration DateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1194340497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
1307 N COLLEGE ST, Newberg, OR 97132
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Other Names 1

Doing Business AsWillow Place

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2194731

Newberg Alf, LLC Dba Willow Place · Newberg, OR
Active · expires Oct 1, 2026
CLIA Number38D2194731
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorBecky Hollis
Laboratory Phone(503) 537-9100
Laboratory LocationNewberg Alf, LLC Dba Willow Place1307 N College Street, Newberg, OR 97132
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Newberg Alf, LLC's NPI number?

The NPI number for Newberg Alf, LLC is 1194340497. It was assigned to this organization in the NPPES registry on June 11, 2020. The provider is doing business as Willow Place.

Where is Newberg Alf, LLC located?

Newberg Alf, LLC is located at 1307 N College St, Newberg, OR 97132. The listed phone number is (503) 537-9100.

What is Newberg Alf, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Newberg Alf, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2194731) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newberg Alf, LLC was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.