Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Oregon Healthcare Portland, LLC

Organization Skilled Nursing Facility · NPI 1497703110

Evergreen Oregon Healthcare Portland, LLC is a Skilled Nursing Facility in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12441 SE Stark St
Portland, OR 97233-1053
Phone: (503) 255-7040
Fax: (503) 255-0555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 1676 (OR)

Record details

NPI number1497703110
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEmpres Oregon Healthcare, LLC
Authorized official Brent Weil — Ceo And Manager · (360) 892-6628
Other names Portland Health And Rehabilitation Center
NPI enumeratedMay 5, 2006
Last updated in NPPESJanuary 30, 2017
Mailing address4601 Ne 77th Ave, Suite 300, Vancouver, WA 98662-6736

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