PORTLAND HEALTH AND REHABILITATION CENTER
NPI 1497703110
Skilled Nursing Facility in Portland, OR

Active since May 05, 2006
12441 SE STARK ST, PORTLAND, OR 97233(503) 255-7040(503) 255-0555 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Portland Health And Rehabilitation Center NPPES

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

PORTLAND HEALTH AND REHABILITATION CENTER (NPI 1497703110) is a healthcare organization registered as a skilled nursing facility in Portland, Oregon and active in the NPI registry since May 2006. The organization lists Brent Weil, Ceo And Manager, as its authorized official.

NPPES Registry Identity

NPI1497703110
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN OREGON HEALTHCARE PORTLAND, L.L.C.
Location Address12441 SE STARK STPortland, OR 97233-1053
Mailing Address4601 Ne 77th Ave, Suite 300Vancouver, WA 98662-6736 · (360) 892-6628 · Fax (360) 882-5793
Fax(503) 255-0555
Organization SubpartYesParent: Empres Oregon Healthcare, Llc
Authorized OfficialBrent WeilCeo And Manager · (360) 892-6628
Enumeration DateMay 5, 2006
Last NPPES UpdateJanuary 30, 2017
NPI 1497703110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OR · 1676
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.

12441 SE STARK ST, Portland, OR 97233

Other Names 1

Doing Business AsPortland Health And Rehabilitation Center

Other Identifiers 2

Medicare OSCAR/certification385228OR
Medicaid800000OR

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Specialist
12441 SE STARK ST
PORTLAND, OR 97233
Physical Therapy Assistant
12441 SE STARK ST
PORTLAND, OR 97233
Physical Therapy Assistant
12441 SE STARK ST
PORTLAND, OR 97233
Speech-Language Pathologist
12441 SE STARK ST
PORTLAND, OR 97233
Physical Therapist
12441 SE STARK ST
PORTLAND, OR 97233
Occupational Therapy Assistant
12441 SE STARK ST
PORTLAND, OR 97233
Speech-Language Pathologist
12441 SE STARK ST
PORTLAND, OR 97233
Occupational Therapist
12441 SE STARK ST
PORTLAND, OR 97233

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 Evergreen Oregon Healthcare Portland, L.L.C.'s NPI number?

The NPI number for Evergreen Oregon Healthcare Portland, L.L.C. is 1497703110. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Portland Health And Rehabilitation Center.

Where is Evergreen Oregon Healthcare Portland, L.L.C. located?

Evergreen Oregon Healthcare Portland, L.L.C. is located at 12441 SE Stark St, Portland, OR 97233. The listed phone number is (503) 255-7040.

What is Evergreen Oregon Healthcare Portland, L.L.C.'s specialty?

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

What insurance does Evergreen Oregon Healthcare Portland, L.L.C. accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Evergreen Oregon Healthcare Portland, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Oregon Healthcare Portland, L.L.C. was last updated on January 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.