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Active NPI 1770108052 Organization (Entity Type 2)

Pendleton Alf, Llc

Assisted Living Facility • Pendleton, OR

About Pendleton Alf, Llc NPI 1770108052 Summary

Pendleton Alf, Llc is a verified healthcare organization specializing in Assisted Living Facility operating in Pendleton, OR. Located at 301 SW 28TH DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1770108052.

Administrative operations and authorized compliance are overseen by Peter Verdieck (Evp Finance & Administration).

Facility Location & Contact Primary Location

Facility Address

301 Sw 28th Dr

Pendleton, OR 978011871

Telephone 5412780666

Authorized Official Information

Authorized Contact Name

Peter Verdieck

Title / Role

Evp Finance & Administration

Official Telephone

5032554647

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.

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active June 11, 2020

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2020

Registered at 301 SW 28TH DR, PENDLETON, OR 978011871 (Tel: 5412780666)

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Updated Business Mailing Address June 11, 2020

Registered at 15900 SE 82ND DR, CLACKAMAS, OR 970159502 (Tel: 5032554647)

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Organization / Clinic Name Updated June 11, 2020

Operating as PENDLETON ALF, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2020

Assisted Living Facility

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Initial NPI Registration & Enumeration June 11, 2020

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1770108052
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 11, 2020
Last Update: June 11, 2020

Mailing Address

15900 Se 82nd Dr

Clackamas, OR 970159502

Phone: 5032554647

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.