Portland Health And Rehabilitation Center

LBN: Evergreen Oregon Healthcare Portland, L.L.C.
Portland Health And Rehabilitation Center is an health care organization with primary practice located at 12441 Se Stark St , Portland OR 97233-1053. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Evergreen Oregon Healthcare Portland, L.L.C. can be contacted via phone (503) 255-7040, or through Weil, Brent via phone (360) 892-6628.

Contact Information

Primary practice address
12441 Se Stark St Portland OR 97233-1053
Phone: (503) 255-7040
Fax: (503) 255-0555
Website:
Map and Directions
Authorized official contact:
Name: Weil, Brent
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1676 Oregon

Profile Details

NPI number 1497703110
LBN Legal business name Evergreen Oregon Healthcare Portland, L.L.C.
DBA Doing business as Portland Health And Rehabilitation Center
Authorized official Weil, Brent
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2006
Last updated Jan 30th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497703110 NPPES
Oregon MEDICAID 800000

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