FM PRINCETON, LLC
NPI 1780200337
Assisted Living Facility in Clackamas, OR

Q: What is Fm Princeton, LLC's NPI number?

The NPI number for Fm Princeton, LLC is 1780200337. It was assigned to this organization in the NPPES registry on June 19, 2020. The provider is doing business as Princeton Village Assisted Living.

Q: What is Fm Princeton, LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fm Princeton, LLC was last updated on June 19, 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.

Active since June 19, 2020

14370 SE OREGON TRAIL DR, CLACKAMAS, OR 97015(503) 558-1215(503) 558-8437 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fm Princeton, Llc NPPES

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

FM PRINCETON, LLC (NPI 1780200337), doing business as Princeton Village Assisted Living, is a healthcare organization registered as an assisted living facility in Clackamas, Oregon and active in the NPI registry since June 2020. The organization lists Gregory Roderick, Member, as its authorized official.

NPPES Registry Identity

NPI1780200337

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFM PRINCETON, LLC

Location Address14370 SE OREGON TRAIL DRClackamas, OR 97015-6290

Mailing Address7420 Sw Bridgeport Rd Ste 105Portland, OR 97224-7790 · (503) 597-4906

Phone(503) 558-1215

Fax(503) 558-8437

Organization SubpartNo

Authorized OfficialGregory RoderickMember · (503) 443-1818

Enumeration DateJune 19, 2020

NPPES CertifiedJune 19, 2020

✔ NPI 1780200337 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.

14370 SE OREGON TRAIL DR, Clackamas, OR 97015

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Other Names 1

Doing Business AsPrinceton Village Assisted Living

Other Identifiers 1

Medicaid527962OR

Other Providers at the Same Location NPPES

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

KELLY LEE MOTR/L

Occupational Therapist

14370 SE OREGON TRAIL DR
CLACKAMAS, OR 97015

Clackamas County (503) 460-7347

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 Fm Princeton, LLC's NPI number?

The NPI number for Fm Princeton, LLC is 1780200337. It was assigned to this organization in the NPPES registry on June 19, 2020. The provider is doing business as Princeton Village Assisted Living.

Where is Fm Princeton, LLC located?

Fm Princeton, LLC is located at 14370 SE Oregon Trail Dr, Clackamas, OR 97015. The listed phone number is (503) 558-1215.

What is Fm Princeton, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Fm Princeton, LLC was last updated on June 19, 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.