Organization · Type 2 NPI

Mirabella at South Waterfront

Skilled Nursing Facility · Portland, OR

NPI number 1487975959 Active

Practice location

3550 S Bond Ave
Portland, OR 97239-4507

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	1291022896 (OR)
Alzheimer Center (Dementia Center)	311500000X	1753514587 (OR)
Custodial Care Facility	311Z00000X	None listed
Nursing Facility/Intermediate Care Facility	313M00000X	1233196437 (OR)
Skilled Nursing Facility Primary	314000000X	None listed

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 1487975959

Mirabella at South Waterfront's National Provider Identifier is 1487975959, issued on Jun 18, 2010. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Portland, OR. The record was last updated on Dec 2, 2025.