ROSE ARBOR INC NPI 1558579813

NPI Information

  • NPI: 1558579813
  • Provider Name: ROSE ARBOR INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ROSE ARBOR ASSISTED LIVING FACILITY
  • Address: 540 NW 12TH ST
    HERMISTON, OR
    ZIP 97838
  • Phone: (541) 564-9070

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NPI Details

ROSE ARBOR INC is an assisted living facility in Hermiston, OR. The provider is 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. ROSE ARBOR INC NPI is 1558579813. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose Arbor Assisted Living Facility.

The provider's business location address is:

540 NW 12TH ST
HERMISTON, OR
ZIP 97838
Phone: (541) 564-9070
Fax: (541) 564-8178

The provider's authorized official is Paula Mae Oltman .
The authorized official title is Administrator President and has the following contact phone number (541) 564-9070.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 8/22/2020.

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
1310400000XAssisted Living Facility1312OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1589015MEDICAIDOREGON

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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