NPI 1124733944

Sapphire at Tigard Rehab LLC

Organisation Skilled Nursing Facility Portland, OR

Practice location

Address: 14145 SW 105th Ave, Portland, OR 97224-4808
Phone: (503) 639-1144
Mailing address: 305 NE 102nd Ave STE 250, Portland, OR 97220-4170

Authorised official

Name: Kevin Michael Ricker
Title: Managing Member
Phone: (503) 887-7395

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Oregon →

Registry record

NPI: 1124733944
Entity type: Organization
NPI issued: 16 Jan 2023
Record last updated: 28 Nov 2025

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.