Individual provider · Type 1 NPI

Michael Irvin

Skilled Nursing Facility · Portland, OR

NPI number 1154738391 Active

Practice location

6010 SW Shattuck Rd
Portland, OR 97221-1043

Call (503) 246-8811 Map

Fax (503) 246-9557

Mailing address

1425 NE Mason St
Portland, OR 97211-5143

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X09071 (OR)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1154738391

Michael Irvin's National Provider Identifier is 1154738391, issued on Jul 21, 2014. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2014.