Porthaven Snf Healthcare LLC

NPI #1104665520 in Portland, Oregon

Provider Information

NPI Number
1104665520
Entity Type
Organization
Organization Name
Porthaven Snf Healthcare LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 23, 2024
Last Updated
May 23, 2024

Practice Location

Address
5330 NE PRESCOTT ST
State
Oregon
ZIP Code
97218-2158
Phone
(503) 288-6585

Authorized Official

Name
JOHN MITCHELL
Title
SECRETARY
Phone
(801) 447-9829

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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