OrganizationActive
Creekside Rehabilitation and Nursing
NPI 1407204746 · Skilled Nursing Facility · Portland, OR
Provider details
- NPI number
- 1407204746
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Myers, Managing Partner(801) 709-4358
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
812 Se 48th Ave
Portland, OR 97215-1724
Phone: (503) 236-2624
Approximate (ZIP-level) locationGet directions
Mailing address
812 Se 48th Ave
Portland, OR 97215-1724
Registry dates
- Enumerated
- 2016-05-26
- Last updated
- 2016-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.