# OREGON WELLNESS NETWORK LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OREGON ASSOCIATION OF AREA AGENCIES ON AGING & DISABILITIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598256281
- **Legal business name:** OREGON ASSOCIATION OF AREA AGENCIES ON AGING & DISABILITIES
- **Authorized official:** LAVINIA GOTO (OPERATIONS MANAGER)
- **Authorized official phone:** (503) 304-3408

## Contact information

- **Practice address:** 3410 CHERRY AVE NE, KEIZER, OR 97303
- **Practice address phone:** (503) 304-3655
- **Mailing address:** 3410 CHERRY AVE NE, KEIZER, OR 97303-4924
- **Mailing address phone:** (503) 304-3408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | NULL | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | — | — |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 01/24/2025