WILLAMETTE LIVING GROUP LLC NPI 1205791324

NPI Information

  • NPI: 1205791324
  • Provider Name: WILLAMETTE LIVING GROUP LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 1466 SW 5TH PL
    GRESHAM, OR
    ZIP 97080
  • Phone: (503) 891-5648

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NPI Details

WILLAMETTE LIVING GROUP LLC is a substance abuse rehabilitation facility in Gresham, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WILLAMETTE LIVING GROUP LLC NPI is 1205791324. The provider is registered as an organization entity type.

The provider's business location address is:

1466 SW 5TH PL
GRESHAM, OR
ZIP 97080-828
Phone: (503) 891-5648

The provider's authorized official is Phillip M Huber .
The authorized official title is Managing Member and has the following contact phone number (503) 891-5648.

The enumeration date for this NPI number is 12/20/2025 and was last updated on 12/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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