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MILWAUKIE CONVALESCENT CENTER
NPI 1568509966
Nursing Facility/Intermediate Care Facility in Milwaukie, OR

Active since February 01, 2007
12045 SE STANLEY AVE, MILWAUKIE, OR 97222(503) 659-2323(503) 353-8533 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Milwaukie Convalescent Center NPPES

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

MILWAUKIE CONVALESCENT CENTER (NPI 1568509966) is a healthcare organization registered as a nursing facility/intermediate care facility in Milwaukie, Oregon and active in the NPI registry since February 2007. The organization lists David Eivers, Gm, as its authorized official.

NPPES Registry Identity

NPI1568509966
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameMILWAUKIE CONVALESCENT HOSPITAL INC
Location Address12045 SE STANLEY AVEMilwaukie, OR 97222
Mailing Address12045 Se Stanley AveMilwaukie, OR 97222 · (503) 659-2323 · Fax (503) 353-8533
Phone(503) 659-2323
Fax(503) 353-8533
Organization SubpartNo
Authorized OfficialDavid EiversGm · (503) 659-2323
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJanuary 21, 2015
✔ NPI 1568509966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
12045 SE STANLEY AVE, Milwaukie, OR 97222
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Other Names 1

Doing Business AsMilwaukie Convalescent Center

Other Identifiers 2

Medicaid802645OR
Medicare ID-Type Unspecified385270OR

Other Providers at the Same Location NPPES 20

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

MOLLY LARSON PEICHEL DPT
Physical Therapist
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Clackamas County (503) 659-2323
JODI SASADEUSZ PT
Physical Therapist
12045 SE STANLEY AVE
PORTLAND, OR 97222
Clackamas County (503) 659-2323
TEENA AILENE TURNER BSN, RN
Registered Nurse (General Practice)
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Clackamas County (503) 659-2323
BECKY JEWELL RN
Registered Nurse
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Clackamas County (503) 659-2323
CARE CENTER (MILWAUKIE) INC.
Skilled Nursing Facility
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Clackamas County (503) 659-2323
JENNIFER BARREN RN
Registered Nurse
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Clackamas County (503) 659-2323
MR. JENS FROJEN M.A., CCC-SLP
Speech-Language Pathologist
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Clackamas County (503) 659-2323
MARY AGUILAR LPTA
Community Health Worker
12045 SE STANLEY AVE
MILWAUKIE, OR 97222
Clackamas County (503) 659-2323

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 Milwaukie Convalescent Hospital Inc's NPI number?

The NPI number for Milwaukie Convalescent Hospital Inc is 1568509966. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as Milwaukie Convalescent Center.

Where is Milwaukie Convalescent Hospital Inc located?

Milwaukie Convalescent Hospital Inc is located at 12045 SE Stanley Ave, Milwaukie, OR 97222. The listed phone number is (503) 659-2323.

What is Milwaukie Convalescent Hospital Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Milwaukie Convalescent Hospital Inc was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.