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Longview Senior Housing LLC — NPI 1508079880, Salem, OR | NPI Central

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NPI 1508079880

OrganizationActive

Longview Senior Housing LLC

NPI 1508079880 · Point of Service · Salem, OR

Provider details

NPI number: 1508079880
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Organization subpart: No
Authorized official: Kelley Hamilton, Ceo-Pres of Manager(503) 566-5715
License: 1473 (WA)

Specialties & taxonomies

Point of ServicePrimary305S00000XLicense 1473 (WA)
Managed Care Organizations

Practice location

3220 State St

Suite 200

Salem, OR 97301-6872

Phone: (503) 566-5715

Fax: (503) 588-3531

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

605 Broadway St

Longview, WA 98632-3279

Other names (DBA / former)

Doing business as: Monticello Park Retirement & Assisted Living Community

Registry dates

Enumerated: 2007-05-07
Last updated: 2007-10-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.