Mirabella at South Waterfront
NPI 1487975959 · Skilled Nursing Facility · Portland, OR
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
15 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.