OrganizationActive
Crestview Operations, LLC
NPI 1922046606 · Skilled Nursing Facility · Portland, OR
Provider details
- NPI number
- 1922046606
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- K. Rickard Miller, Manager(503) 570-3405
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
6530 Sw 30th Ave
Portland, OR 97239-1007
Phone: (503) 244-7533
Approximate (ZIP-level) locationGet directions
Mailing address
25117 Sw Parkway Ave
Wilsonville, OR 97070-9600
Other names (DBA / former)
- Doing business as
- Avamere Crestview of Portland
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.