OrganizationActive
Evergreen Oregon Healthcare Independence, L.L.C.
NPI 1497703201 · Skilled Nursing Facility · Independence, OR
Provider details
- NPI number
- 1497703201
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Empres Oregon Healthcare, LLC
- Authorized official
- Brent Weil, Ceo and Manager
- License
- 1663 (OR)
Practice location
1525 Monmouth St
Independence, OR 97351-1007
Phone: (503) 838-0001
Fax: (503) 838-7826
Mailing address
4601 Ne 77th Ave
Vancouver, WA 98662-6736
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2017-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.