Evergreen Oregon Healthcare Portland, L.L.C. in Portland - Skilled Nursing Facility
Evergreen Oregon Healthcare Portland, L.L.C. - NPI 1497703110
Evergreen Oregon Healthcare Portland, L.L.C. is a Skilled Nursing Facility in Portland, Oregon. Evergreen Oregon Healthcare Portland, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Oregon Healthcare Portland, L.L.C. is 1497703110. The last update date is 2017-01-30.
Evergreen Oregon Healthcare Portland, L.L.C.'s current location address is 12441 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5032557040 and fax number 5032550555. The mailing address for Evergreen Oregon Healthcare Portland, L.L.C. is 12441 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Oregon Healthcare Portland, L.L.C. |
|---|---|
| Address | 12441 Se Stark St, Portland, Oregon |
| Phone Number | 5032557040 |
| Fax Number | 5032550555 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND MA |
|---|---|
| Authorized Official Name | Weil Brent |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1497703110 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2017-01-30 |
Provider Mailing Address Detail
| Address | 12441 Se Stark St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972331053 |
| Phone Number | 5032557040 |
| Fax Number | 5032550555 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1676 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 800000 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evergreen Oregon Healthcare Portland, L.L.C.?
The Evergreen Oregon Healthcare Portland, L.L.C. has been issued the NPI (National Provider Identifier) 1497703110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Evergreen Oregon Healthcare Portland, L.L.C.?
The Evergreen Oregon Healthcare Portland, L.L.C. is physically situated at 12441 Se Stark St, in the city of Portland, state of OR, with the postal code 972331053.
What is Evergreen Oregon Healthcare Portland, L.L.C.'s area of expertise and its corresponding taxonomy classification?
The Evergreen Oregon Healthcare Portland, L.L.C.'s field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Evergreen Oregon Healthcare Portland, L.L.C. receive its 1497703110 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Oregon Healthcare Portland, L.L.C. was assigned its 1497703110 by the Centers for Medicare & Medicaid Services on 2006-05-05.
When was the information regarding Evergreen Oregon Healthcare Portland, L.L.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Evergreen Oregon Healthcare Portland, L.L.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-01-30.
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