OrganizationActive
Evergreen Estates Nursing & Rehabilitation Center LLC
NPI 1255049797 · Skilled Nursing Facility · Woodburn, OR
Provider details
- NPI number
- 1255049797
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Knox, Ceo(740) 359-5401
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
601 Evergreen Rd
Woodburn, OR 97071-2910
Phone: (503) 982-0111
Fax: (503) 982-2481
Approximate (ZIP-level) locationGet directions
Mailing address
10401 Linn Station Rd Ste 300
Louisville, KY 40223-3825
Registry dates
- Enumerated
- 2022-11-14
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.