Evergreen Oregon Healthcare Tualatin Llc in Hillsboro - Skilled Nursing Facility

Evergreen Oregon Healthcare Tualatin Llc - NPI 1780632471

Evergreen Oregon Healthcare Tualatin Llc is a Skilled Nursing Facility in Hillsboro, Oregon. Evergreen Oregon Healthcare Tualatin Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Oregon Healthcare Tualatin Llc is 1780632471. The last update date is 2017-01-30.

Evergreen Oregon Healthcare Tualatin Llc's current location address is 1778 Ne Cornell Rd, Hillsboro, Oregon. You can contact this provider via phone number 5036486621 and fax number 5036484443. The mailing address for Evergreen Oregon Healthcare Tualatin Llc is 1778 Ne Cornell Rd, Hillsboro, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evergreen Oregon Healthcare Tualatin Llc
Address 1778 Ne Cornell Rd, Hillsboro, Oregon
Phone Number 5036486621
Fax Number 5036484443
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO AND MA
Authorized Official Name Weil Brent
Telephone Number 3608926628

NPI Number Detail

NPI Number 1780632471
Provider Enumeration Date 2006-05-04
Last Updated Date 2017-01-30

Provider Mailing Address Detail

Address 1778 Ne Cornell Rd
City Hillsboro
State Oregon (OR)
Post Code 971242740
Phone Number 5036486621
Fax Number 5036484443

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 1665
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
801043 OR --

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FAQs about Evergreen Oregon Healthcare Tualatin Llc

What is the unique identifier code issued to Evergreen Oregon Healthcare Tualatin Llc by the Centers for Medicare & Medicaid Services?

The Evergreen Oregon Healthcare Tualatin Llc has been assigned the NPI (National Provider Identifier) 1780632471. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Evergreen Oregon Healthcare Tualatin Llc is physically located?

The Evergreen Oregon Healthcare Tualatin Llc is physically situated at the following address: 1778 Ne Cornell Rd, Hillsboro, OR, 971242740.

What is Evergreen Oregon Healthcare Tualatin Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Evergreen Oregon Healthcare Tualatin Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.

On what date was the 1780632471 assigned to Evergreen Oregon Healthcare Tualatin Llc?

The Evergreen Oregon Healthcare Tualatin Llc was issued its 1780632471 on 2006-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Evergreen Oregon Healthcare Tualatin Llc most recently updated or refreshed?

The details pertaining to the Evergreen Oregon Healthcare Tualatin Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-30.

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