Organization
LIFEWAYS, INC
Active
Organization
LIFEWAYS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE JENSEN (CHIEF EXECUTIVE OFFICER)
(541) 889-9167
Entity
Organization
Contact information
Practice address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
OR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
700087
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069053000
BLUE CROSS
OR
05
—
100426
—
OR
05
—
165864
—
OR
05
—
226944
—
OR
05
—
500649011
—
OR
Enumeration date
10/05/2006
Last updated
06/21/2024
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