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

Stayton SW Assisted Living LLC

Organization Assisted Living Facility · NPI 1689791485

Stayton SW Assisted Living LLC is an Assisted Living Facility in Stayton, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2201 3rd Ave
Stayton, OR 97383-1388
Phone: (503) 769-3200
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X (OR)
Assisted Living Facility Taxonomy 310400000X · Licence 1769313990 (OR)

Record details

NPI number1689791485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Harder — Manager · (503) 485-4600
Other names Lakeside Assisted Living Community
NPI enumeratedMarch 25, 2007
Last updated in NPPESJuly 14, 2008
Mailing addressPo Box 3006, Salem, OR 97302-0006

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