Organization · Type 2 NPI

Prairie Manor

Skilled Nursing Facility · Wilsonville, OR

NPI number 1164844866 Active

Practice location

25117 SW Parkway Ave, Suite D
Wilsonville, OR 97070-9697

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	057001429 (IL)

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 1164844866

Prairie Manor's National Provider Identifier is 1164844866, issued on Jan 15, 2014. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Wilsonville, OR. The record was last updated on Jan 15, 2014.