Portland Snf Operations, LLC

NPI #1104530492 in Portland, Oregon

Provider Information

NPI Number
1104530492
Entity Type
Organization
Organization Name
Portland Snf Operations, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 11, 2023
Last Updated
Sep 5, 2024

Practice Location

Address
12441 SE STARK ST
State
Oregon
ZIP Code
97233-1053
Phone
(503) 255-7040

Authorized Official

Name
YITZCHOK YENOWITZ
Title
AUTHORIZED REPRESENTATIVE
Phone
(323) 333-0910

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Occupational Therapist
Respiratory Therapist, Registered
Speech-Language Pathologist
Skilled Nursing Facility

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