OrganizationActive
Porthaven Snf Healthcare LLC
NPI 1104665520 · Skilled Nursing Facility · Portland, OR
Provider details
- NPI number
- 1104665520
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Mitchell, Secretary(801) 447-9829
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5330 Ne Prescott St
Portland, OR 97218-2158
Phone: (503) 288-6585
Street-level locationGet directions
Mailing address
262 N University Ave
Farmington, UT 84025-2975
Other names (DBA / former)
- Doing business as
- Porthaven Post Acute
Registry dates
- Enumerated
- 2024-05-23
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.