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PREMIER LIVING CENTER
NPI 1669099768
Assisted Living Facility in Portland, OR

Active since July 06, 2020CLIA 38D2269265 · Waiver
5120 SE 118TH AVE, PORTLAND, OR 97266(503) 762-3413(503) 762-3428 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Living Center NPPES

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

PREMIER LIVING CENTER (NPI 1669099768) is a healthcare organization registered as an assisted living facility in Portland, Oregon and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Jen Schnitzer, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1669099768
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePREMIER LIVING CENTER INC.
Location Address5120 SE 118TH AVEPortland, OR 97266-3250
Mailing Address3902 Se 154th CtVancouver, WA 98683-5355
Phone(503) 762-3413
Fax(503) 762-3428
Organization SubpartNo
Authorized OfficialJen SchnitzerDirector Of Operations · (541) 601-7228
Enumeration DateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
✔ NPI 1669099768 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.

5120 SE 118TH AVE, Portland, OR 97266
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Other Names 1

Doing Business AsPremier Living Center

Other Identifiers 1

Medicaid503908OR

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 38D2269265

Premier Living Center Inc · Portland, OR
Active · expires Sep 21, 2026
CLIA Number38D2269265
Laboratory TypeResidential Care Facility
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorMollie Phillips
Laboratory Phone(503) 762-3413
Laboratory LocationPremier Living Center Inc5120 SE 118th Ave, Portland, OR 97266
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TERRI-LYNN HEIDI MCDONALD QMHP
Counselor (Mental Health)
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3435
ADRIENNE ROSANNE GILLEY
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3431
JACOB WHITE
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 238-0769
JEFFREY T HOLM
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3431
TERESA BARKER MT
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3435
COREY DEAN ANDERSON
Adult Companion
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3431
DONALD JOSEPH HICE QMHP
Social Worker (Clinical)
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3435
LANDON MOODY
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3431

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 Premier Living Center Inc.'s NPI number?

The NPI number for Premier Living Center Inc. is 1669099768. It was assigned to this organization in the NPPES registry on July 6, 2020. The provider is doing business as Premier Living Center.

Where is Premier Living Center Inc. located?

Premier Living Center Inc. is located at 5120 SE 118th Ave, Portland, OR 97266. The listed phone number is (503) 762-3413.

What is Premier Living Center Inc.'s specialty?

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

Does Premier Living Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2269265) is associated with this NPI, valid through September 21, 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 Premier Living Center Inc. was last updated on July 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.