Healthcare Provider Details

I. General information

NPI: 1154268571
Provider Name (Legal Business Name): SILLY BILLIES CARES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36542 HIGHWAY 58
PLEASANT HILL OR
97455-9689
US

IV. Provider business mailing address

36542 HIGHWAY 58
PLEASANT HILL OR
97455-9689
US

V. Phone/Fax

Practice location:
  • Phone: 541-606-2919
  • Fax:
Mailing address:
  • Phone: 541-606-2919
  • Fax: 541-534-0370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: MANDY JOHNSON
Title or Position: DIRECTOR
Credential: PSS
Phone: 541-606-2919