Portland Snf Operations, Llc is a medicare enrolled "Skilled Nursing Facility" provider in Portland, Oregon. Their current practice location is
12441 Se Stark St, Portland, Oregon. You can reach out to their office (for appointments etc.) via phone at
(503) 255-7040.
Portland Snf Operations, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Portland Snf Operations, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1104530492.
Healthcare Provider's Profile
| Full Name | Portland Snf Operations, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Skilled Nursing Facility |
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| Location | 12441 Se Stark St, Portland, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104530492
- Provider Enumeration Date: 01/11/2023
- Last Update Date: 09/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870948391
- Enrollment ID: O20231018001197
Medical Identifiers
Medical identifiers for Portland Snf Operations, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104530492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 227900000X | Respiratory Therapist, Registered | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Portland Snf Operations, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Portland Snf Operations, Llc
1777 Avenue Of The States Ste 102,
Lakewood, NJ 08701-4779
Ph: (732) 366-8300 | Portland Snf Operations, Llc
12441 Se Stark St,
Portland, OR 97233-1053
Ph: (503) 255-7040 |
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