OrganizationActive
Fmg Northeast Weidler Street Oregon LLC
NPI 1710375878 · Skilled Nursing Facility · Portland, OR
Provider details
- NPI number
- 1710375878
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Keating, Agent(414) 908-8058
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
11325 Ne Weidler St
Portland, OR 97220-1950
Phone: (503) 253-1181
Fax: (503) 253-1871
Approximate (ZIP-level) locationGet directions
Mailing address
5001 West Lemon Street
Tampa, FL 33609-1103
Registry dates
- Enumerated
- 2014-12-24
- Last updated
- 2017-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.