NPI 1104665520
Porthaven Snf Healthcare LLC
Practice location
- Address
- 5330 NE Prescott St, Portland, OR 97218-2158
- Phone
- (503) 288-6585
- Mailing address
- 262 N University Ave, Farmington, UT 84025-2975
Authorised official
- Name
- John Mitchell
- Title
- Secretary
- Phone
- (801) 447-9829
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1104665520
- Entity type
- Organization
- NPI issued
- 23 May 2024
- Record last updated
- 23 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.