Whalio Doctors

NPI 1295752236

King City Rehab, LLC

Organisation Skilled Nursing Facility Tigard, OR

Practice location

Address
16485 SW Pacific Hwy, Tigard, OR 97224-3446
Phone
(503) 620-5141
Fax
(971) 223-0410
Mailing address
25117 SW Parkway Ave Suite F, Wilsonville, OR 97070-9697

Authorised official

Name
K. Rickard Miller
Title
Manager
Phone
(503) 570-3405

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X

Registry record

NPI
1295752236
Entity type
Organization
NPI issued
16 Jul 2006
Record last updated
21 Jan 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.