OrganizationActive
Evergreen Oregon Healthcare Mountain Vista,l.l.c.
NPI 1801844501 · Skilled Nursing Facility · La Grande, OR
Provider details
- NPI number
- 1801844501
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Empres Oregon Healthcare, LLC
- Organization subpart
- Yes
- Authorized official
- Brent Weil, Ceo and Manager(360) 892-6628
- License
- 1664 (OR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
91 Aries Ln
La Grande, OR 97850-3309
Phone: (541) 963-8678
Fax: (541) 963-5024
Approximate (ZIP-level) locationGet directions
Mailing address
4601 Ne 77th Ave
Vancouver, WA 98662-6736
Other names (DBA / former)
- Doing business as
- Lagrande Post Acute Rehab
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.