Organization
LIFEWAYS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY A CORDENIZ (CEO)
(541) 889-9167
Entity
Organization
Contact information
Practice address
331 SE 2ND ST, PENDLETON, OR 97801-2224
(541) 276-6207
(541) 276-4628
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)
—
OR
261QM0850X
Adult Mental Health Clinic/Center
—
OR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277927
—
OR
01
—
872160000
BLUE CROSS
OR
Enumeration date
10/05/2006
Last updated
03/16/2017
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