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Evergreen Snf Healthcare LLC — NPI 1629827167, Portland, OR | NPI Central

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NPI 1629827167

OrganizationActive

Evergreen Snf Healthcare LLC

NPI 1629827167 · Skilled Nursing Facility · Portland, OR

Provider details

NPI number: 1629827167
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: John Mitchell, Secretary(801) 447-9829

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000X
Nursing & Custodial Care Facilities

Practice location

8643 Ne Beech St

Portland, OR 97220-5012

Phone: (503) 256-2151

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

262 N University Ave

Farmington, UT 84025-2975

Other names (DBA / former)

Doing business as: Evergreen Post Acute

Registry dates

Enumerated: 2024-05-16
Last updated: 2024-05-16
Certified: 2024-05-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.