institution
Evergreen Oregon Healthcare Portland, L.l.c.
Skilled Nursing Facility in Portland, Oregon
NPI 1497703110

Evergreen Oregon Healthcare Portland, L.l.c. is a Skilled Nursing Facility based in Vancouver, OR. Evergreen Oregon Healthcare Portland, L.l.c. practices in Portland, OR. The NPI Number for Evergreen Oregon Healthcare Portland, L.l.c. is 1497703110 and holds a License No. 1676 (Oregon).

The current practice location address for Evergreen Oregon Healthcare Portland, L.l.c. is 12441 Se Stark St, Portland, OR and can be reached out via phone at 503-255-7040 and via fax at 503-255-0555. You can also correspond with Evergreen Oregon Healthcare Portland, L.l.c. through the mailing address at 4601 NE 77TH AVE, VANCOUVER, WA - 98662-6736 (mailing address contact number: 360-892-6628).

Location: 12441 Se Stark St, Portland, OR, 98662-6736
institution
Provider Profile Details
NPI Number
1497703110
Provider Name
Evergreen Oregon Healthcare Portland, L.l.c.
Credential
Provider Entity Type
Organization
Address
12441 Se Stark St, Portland, OR, 98662-6736
Phone Number
503-255-7040
Fax Number
503-255-0555
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
800000 05 OR
institution
Provider Business Practice Location Address Details
Address
12441 Se Stark St
City
State
Zip
97233-1053
Phone Number
503-255-7040
Fax Number
503-255-0555
person
Provider Business Mailing Address Details
Address
12441 Se Stark St
City
State
Zip
97233-1053
Phone Number
503-255-7040
Fax Number
503-255-0555
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
1676 (Oregon)
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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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