OrganizationActive
St. Jude Operating Company, LLC
NPI 1205053600 · Nursing Facility/Intermediate Care Facility · Portland, OR
Provider details
- NPI number
- 1205053600
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Melchor Balazs, Owner(510) 526-2230
- License
- 1026862561 (OR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6003 Se 136th Ave
Portland, OR 97236-4567
Phone: (503) 761-1155
Fax: (503) 761-1142
Street-level locationGet directions
Mailing address
6003 Se 136th Ave
Portland, OR 97236-4567
Other names (DBA / former)
- Doing business as
- Healthcare at Foster Creek
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2015-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.