Portland Snf Operations, LLC
Skilled Nursing Facility in Portland, OR. Organization (NPI-2).
NPI number1104530492
StatusActive
Last updated in NPPESSep 5, 2024
Details
- NPI
- 1104530492
- Entity type
- Organization (NPI-2)
- Legal business name
- Portland Snf Operations, LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2023
- Certification date
- Sep 5, 2024
- Last updated
- Sep 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 227900000X | Respiratory Therapist, Registered | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Other names
- Portland Health & Rehabilitation Center (Doing Business As)
Practice location
12441 Se Stark StPortland, OR 97233-1053
Phone 503-255-7040
Mailing address
1777 Avenue Of The States Ste 102Lakewood, NJ 08701-4779
Phone 732-366-8300 · Fax 732-523-5312
Authorized official
Yitzchok Yenowitz
Authorized Representative
3233330910
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