Active NPIOrganization

Beaverton Rehab & Specialty Care, LLC

Skilled Nursing Facility in Beaverton, Oregon

NPI Number1366469330
Practice location
11850 SW Allen Blvd, Beaverton, OR 97005-4805
Fax
—
Last updated
January 21, 2025

Beaverton Rehab & Specialty Care, LLC is a healthcare organization based in Beaverton, OR. Beaverton Rehab & Specialty Care, LLC practices in Beaverton, OR. The NPI Number for Beaverton Rehab & Specialty Care, LLC is 1366469330. The current practice location address for Beaverton Rehab & Specialty Care, LLC is 11850 SW Allen Blvd, Beaverton, OR 97005-4805 and can be reached out via phone at 503-646-7164.

Provider Profile Details

NPI Number
1366469330
Provider Name
Beaverton Rehab & Specialty Care, LLC
Provider Entity Type
Organization
Address
11850 SW Allen Blvd, Beaverton, OR 97005-4805
Phone Number
503-646-7164
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
K. Rickard Miller · Manager · 503-570-3405
Other Names
Avamere Rehabilitation Of Beaverton (Doing Business As)
Provider Enumeration Date
July 16, 2006
Last Update Date
January 21, 2025
Certification Date
January 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
11850 SW Allen Blvd
Beaverton, OR 97005-4805
State
Oregon
Zip
97005-4805
Phone Number
503-646-7164
Beaverton, OR 97005Get directions →

Provider Business Mailing Address Details

Address
25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9697
City
Wilsonville
State
OR
Zip
97070-9697

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Beaverton Rehab & Specialty Care, LLC?

The NPI number of Beaverton Rehab & Specialty Care, LLC is 1366469330. It was assigned on July 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Beaverton Rehab & Specialty Care, LLC?

Beaverton Rehab & Specialty Care, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Beaverton Rehab & Specialty Care, LLC practice?

The practice location is 11850 SW Allen Blvd, Beaverton, OR 97005-4805. The office can be reached at 503-646-7164 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366469330 directly on the NPPES registry website.

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