CREEKSIDE REHABILITATION AND NURSING
NPI 1407204746
Skilled Nursing Facility in Portland, OR

Active since May 26, 2016
812 SE 48TH AVE, PORTLAND, OR 97215(503) 236-2624 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Creekside Rehabilitation And Nursing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREEKSIDE REHABILITATION AND NURSING (NPI 1407204746) is a healthcare organization registered as a skilled nursing facility in Portland, Oregon and active in the NPI registry since May 2016. The organization lists Walter Eric Myers, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1407204746
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCREEKSIDE REHABILITATION AND NURSING
Location Address812 SE 48TH AVEPortland, OR 97215-1724
Mailing Address812 Se 48th AvePortland, OR 97215-1724 · (503) 236-2624
Organization SubpartNo
Authorized OfficialWalter Eric MyersManaging Partner · (801) 709-4358
Enumeration DateMay 26, 2016
Last NPPES UpdateNovember 30, 2016
NPI 1407204746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
812 SE 48TH AVE, Portland, OR 97215

Other Identifiers 1

Medicare OSCAR/certification385277OR

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
812 SE 48TH AVE
PORTLAND, OR 97215
Occupational Therapy Assistant
812 SE 48TH AVE
PORTLAND, OR 97215
Nursing Facility/Intermediate Care Facility
812 SE 48TH AVE
PORTLAND, OR 97215
Physical Therapist
812 SE 48TH AVE
PORTLAND, OR 97215
Physical Therapy Assistant
812 SE 48TH AVE
PORTLAND, OR 97215
Skilled Nursing Facility
812 SE 48TH AVE
PORTLAND, OR 97215
Physical Therapist
812 SE 48TH AVE
PORTLAND, OR 97215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creekside Rehabilitation And Nursing's NPI number?

The NPI number for Creekside Rehabilitation And Nursing is 1407204746. It was assigned to this organization in the NPPES registry on May 26, 2016.

Where is Creekside Rehabilitation And Nursing located?

Creekside Rehabilitation And Nursing is located at 812 SE 48th Ave, Portland, OR 97215. The listed phone number is (503) 236-2624.

What is Creekside Rehabilitation And Nursing's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Creekside Rehabilitation And Nursing was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.