Healthcare Provider Details

I. General information

NPI: 1184586083
Provider Name (Legal Business Name): THE SPRINGS LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2025
Last Update Date: 11/29/2025
Certification Date: 11/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 SE THREE MILE LN
MCMINNVILLE OR
97128-6232
US

IV. Provider business mailing address

3330 SE THREE MILE LN
MCMINNVILLE OR
97128-6232
US

V. Phone/Fax

Practice location:
  • Phone: 971-645-1650
  • Fax:
Mailing address:
  • Phone: 971-645-1650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN BERNING
Title or Position: DIRECTOR OF HEALTH SERVICES
Credential: RN
Phone: 971-645-1650