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Sapphire at Gracelen LLC — NPI 1871368753, Portland, OR | NPI Central

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NPI 1871368753

OrganizationActive

Sapphire at Gracelen LLC

NPI 1871368753 · Nursing Facility/Intermediate Care Facility · Portland, OR

Provider details

NPI number: 1871368753
Entity type: Organization
Primary specialty: Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Kevin Ricker, Managing Member(503) 887-7395

Specialties & taxonomies

Nursing Facility/Intermediate Care FacilityPrimary313M00000X
Nursing & Custodial Care Facilities

Practice location

10948 Se Boise St

Portland, OR 97266-2202

Phone: (503) 760-1727

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

305 Ne 102nd Ave Ste 250

Portland, OR 97220-4170

Other names (DBA / former)

Doing business as: Gracelen Care Center

Registry dates

Enumerated: 2023-11-20
Last updated: 2025-11-28
Certified: 2025-11-28

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