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

Fmg Northeast Weidler Street Oregon LLC

Organization Skilled Nursing Facility · NPI 1710375878

Fmg Northeast Weidler Street Oregon LLC is a Skilled Nursing Facility in Portland, Oregon. Registered with an NPI since 2014.

In the registry since
2014
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

11325 NE Weidler St
Portland, OR 97220-1950
Phone: (503) 253-1181
Fax: (503) 253-1871
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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

Record details

NPI number1710375878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Keating — Agent · (414) 908-8058
NPI enumeratedDecember 24, 2014
Last updated in NPPESNovember 7, 2017
Mailing address5001 West Lemon Street, C/O Focus Management Group, Tampa, FL 33609-1103

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