Mirabella at South Waterfront
NPI 1487975959 · Skilled Nursing Facility · Portland, OR
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mirabella at South Waterfront is a Skilled Nursing Facility organization in Portland, OR (NPI 1487975959).
Provider details
- NPI number
- 1487975959
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sharon Van Eaton, Executive Director(503) 901-2939
- License
- 1233196437 (OR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
- Custodial Care Facility311Z00000X
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Other names (DBA / former)
- Doing business as
- Mirabella Portland
Registry dates
- Enumerated
- 2010-06-18
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Mirabella at South Waterfront's NPI number?
- Mirabella at South Waterfront's National Provider Identifier (NPI) is 1487975959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mirabella at South Waterfront?
- Mirabella at South Waterfront is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Mirabella at South Waterfront located?
- Mirabella at South Waterfront's practice location on file with NPPES is 3550 S Bond Ave, Portland, OR 97239-4507.
- What is Mirabella at South Waterfront's phone number?
- The practice phone number listed in the NPPES registry for Mirabella at South Waterfront is (503) 688-6400.
- Does Mirabella at South Waterfront accept Medicare?
- Mirabella at South Waterfront is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mirabella at South Waterfront?
- The authorized official listed on Mirabella at South Waterfront's NPPES record is Sharon Van Eaton, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mirabella at South Waterfront's NPI active?
- Yes — Mirabella at South Waterfront's NPI (1487975959) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.