OrganizationActive
Russellville III LLC
NPI 1164845921 · Assisted Living Facility · Portland, OR
Russellville III LLC is a Assisted Living Facility organization in Portland, OR (NPI 1164845921).
Provider details
- NPI number
- 1164845921
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rayn Rasar, Vp Operations(206) 436-7827
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
23 Se 103rd Ave
Portland, OR 97216
Phone: (503) 254-5900
Street-level locationGet directions
Mailing address
23 Se 103rd Ave
Portland, OR 97216
Other names (DBA / former)
- Doing business as
- Russellville Park
Registry dates
- Enumerated
- 2014-01-30
- Last updated
- 2014-01-30
Frequently asked questions
- What is Russellville III LLC's NPI number?
- Russellville III LLC's National Provider Identifier (NPI) is 1164845921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russellville III LLC?
- Russellville III LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Russellville III LLC located?
- Russellville III LLC's practice location on file with NPPES is 23 Se 103rd Ave, Portland, OR 97216.
- What is Russellville III LLC's phone number?
- The practice phone number listed in the NPPES registry for Russellville III LLC is (503) 254-5900.
- Who is the authorized official for Russellville III LLC?
- The authorized official listed on Russellville III LLC's NPPES record is Rayn Rasar, Vp Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russellville III LLC's NPI active?
- Yes — Russellville III LLC's NPI (1164845921) is active in the NPPES registry as of the last update on 2014-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.