Michael Irvin

Skilled Nursing Facility · Portland, OR

Individual Active NPI

NPI number 1154738391

Practice location

6010 SW Shattuck Rd
Portland, OR 97221-1043
Phone
(503) 246-8811
Fax
(503) 246-9557

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NPI record

NPI
1154738391
Entity type
Individual (Type 1)
Enumeration date
July 21, 2014
Last updated
July 21, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 09071 OR

Mailing address

1425 NE Mason St
Portland, OR 97211-5143
Phone
(503) 453-4996

About Michael Irvin

Michael Irvin is a healthcare provider registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 6010 SW Shattuck Rd, Portland, OR 97221-1043. The NPI number 1154738391 was assigned on July 21, 2014 and the record was last updated on July 21, 2014.

Michael Irvin lists a license in the registry: #09071 (OR) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Irvin?

The NPI number is 1154738391.

What is the phone number of Michael Irvin?

The phone number listed for the practice location is (503) 246-8811.

Where is Michael Irvin located?

6010 SW Shattuck Rd, Portland, OR 97221-1043.

What is the taxonomy code for Michael Irvin?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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