Healthcare Provider Details

I. General information

NPI: 1811818016
Provider Name (Legal Business Name): NEWPORT OF CASCADIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 SW 11TH ST
NEWPORT OR
97365-4802
US

IV. Provider business mailing address

835 SW 11TH ST
NEWPORT OR
97365-4802
US

V. Phone/Fax

Practice location:
  • Phone: 541-265-5356
  • Fax:
Mailing address:
  • Phone: 208-401-9600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: OWEN HAMMOND
Title or Position: PRESIDENT
Credential:
Phone: 208-401-9600