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PACIFIC NORTHWEST LIVING LLC
NPI 1225626765
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Salem, OR

Active since January 08, 2021
4392 COLOMA DR SE, SALEM, OR 97302(971) 301-8831(971) 301-8862 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Northwest Living Llc NPPES

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

PACIFIC NORTHWEST LIVING LLC (NPI 1225626765) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Salem, Oregon and active in the NPI registry since January 2021. The organization lists Rosella Mary Miltimore, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225626765
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePACIFIC NORTHWEST LIVING LLC
Location Address4392 COLOMA DR SESalem, OR 97302-5076
Mailing Address4392 Coloma Dr SeSalem, OR 97302-5076 · (503) 765-0454 · Fax (971) 301-8862
Phone(971) 301-8831
Fax(971) 301-8862
Organization SubpartNo
Authorized OfficialRosella Mary MiltimoreExecutive Director · (503) 765-0454
Enumeration DateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
✔ NPI 1225626765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4392 COLOMA DR SE, Salem, OR 97302
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Other Names 1

Doing Business AsPacific Northwest Living Llc

Other Identifiers 2

MedicaidDZ1463OR
OtherDZ1463OR · Agency Certificate Developmental Disability

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 Pacific Northwest Living LLC's NPI number?

The NPI number for Pacific Northwest Living LLC is 1225626765. It was assigned to this organization in the NPPES registry on January 8, 2021.

Where is Pacific Northwest Living LLC located?

Pacific Northwest Living LLC is located at 4392 Coloma Dr SE, Salem, OR 97302. The listed phone number is (971) 301-8831.

What is Pacific Northwest Living LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Pacific Northwest Living LLC was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.