Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Manor Residential Care, LLC

Organization Alzheimer Center (Dementia Center) · NPI 1669633707

Jefferson Manor Residential Care, LLC is an Alzheimer Center (Dementia Center) in Dallas, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

664 SE Jefferson St
Dallas, OR 97338-2024
Phone: (503) 623-8104
Fax: (503) 623-0772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X · Licence 1087658107 (OR)

Record details

NPI number1669633707
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Moss — Director Of Risk Management · (503) 588-2725
Other names Jefferson Manor
NPI enumeratedJune 20, 2008
Last updated in NPPESJune 20, 2008
Mailing address200 Hawthorne Ave Se Ste A140, Salem, OR 97301-5092