Healthcare Provider Details
I. General information
NPI: 1811300874
Provider Name (Legal Business Name): CLEARVIEW DISABILITY RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2014
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1114 SW FRAZER AVE
PENDLETON OR
97801-2873
US
IV. Provider business mailing address
1114 SW FRAZER AVE
PENDLETON OR
97801-2873
US
V. Phone/Fax
- Phone: 541-276-1130
- Fax: 866-998-1972
- Phone: 541-276-1130
- Fax: 866-998-1972
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CAROL
LEE
UMBARGER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 541-276-1130