Organization
WILLAMETTE LIVING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP M HUBER (MANAGING MEMBER)
(503) 891-5648
Entity
Organization
Contact information
Practice address
1466 SW 5TH PL, GRESHAM, OR 97080-6828
(503) 891-5648
Mailing address
1040 LAVONA DR NW, SALEM, OR 97304-3744
(503) 891-5648
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/20/2025
Last updated
12/20/2025
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