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Active NPI 1306556154 Organization (Entity Type 2)

Gresham Of Olympus, Llc

Assisted Living Facility • Gresham, OR

About Gresham Of Olympus, Llc NPI 1306556154 Summary

Gresham Of Olympus, Llc is a verified healthcare organization specializing in Assisted Living Facility operating in Gresham, OR. Located at 3457 NE DIVISION ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1306556154.

Administrative operations and authorized compliance are overseen by Steve Laforte (Director Of Corporate Affairs).

The facility is associated with 7 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

3457 Ne Division St

Gresham, OR 970304602

Telephone 2084019600

Fax 2083140639

Authorized Official Information

Authorized Contact Name

Steve Laforte

Title / Role

Director Of Corporate Affairs

Official Telephone

2084019600

Facility Classifications & Specialties

Assisted Living Facility Primary Taxonomy

NUCC Taxonomy Code: 310400000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

7 Linked

Lisa Hartl NPI 1083809313

Physical Therapy Assistant

Gresham, OR

View Practitioner Profile →

Maria Baumgarden , PT NPI 1285947598

Physical Therapist

Gresham, OR

View Practitioner Profile →

Sara Allender , OTR, L NPI 1386913408

Occupational Therapist

Gresham, OR

View Practitioner Profile →

Gwendolyn Krueger , OT NPI 1407420821

Occupational Therapist

Gresham, OR

View Practitioner Profile →

Liliya Bachinskaya , OTR NPI 1538609466

Occupational Therapist

Gresham, OR

View Practitioner Profile →

Mina Al-Khalisi , MOT, OTR, L NPI 1619163466

Occupational Therapist

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events

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Updated Practice Location February 23, 2023

Registered at 3457 NE DIVISION ST, GRESHAM, OR 970304602 (Tel: 2084019600)

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NPI Profile Active December 02, 2022

NPI status registered as active in NPPES database

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Updated Practice Location December 02, 2022

Registered at 2205 E RIVERSIDE DR STE 100, EAGLE, ID 836167621 (Tel: 2084019600)

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Updated Business Mailing Address December 02, 2022

Registered at 2205 E RIVERSIDE DR STE 100, EAGLE, ID 836167621 (Tel: 2084019600)

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Organization / Clinic Name Updated December 02, 2022

Operating as GRESHAM OF OLYMPUS, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2022

Assisted Living Facility

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Initial NPI Registration & Enumeration December 02, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1306556154

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: December 02, 2022

Last Update: February 23, 2023

Update or Correct Listing

Mailing Address

2205 E Riverside Dr Ste 100

Eagle, ID 836167621

Phone: 2084019600

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.