IndividualActive
Michael Irvin
NPI 1154738391 · Skilled Nursing Facility · Portland, OR
Michael Irvin is a Skilled Nursing Facility provider in Portland, OR (NPI 1154738391).
Provider details
- NPI number
- 1154738391
- Entity type
- Individual
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 09071 (OR)
Practice location
6010 Sw Shattuck Rd
Portland, OR 97221-1043
Phone: (503) 246-8811
Fax: (503) 246-9557
Street-level locationGet directions
Mailing address
1425 Ne Mason St
Portland, OR 97211-5143
Registry dates
- Enumerated
- 2014-07-21
- Last updated
- 2014-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.