Crestview Operations, LLC

Skilled Nursing Facility · Portland, OR

Organization Active NPI

NPI number 1922046606

Practice location

6530 SW 30TH Ave
Portland, OR 97239-1007
Phone
(503) 244-7533

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NPI record

NPI
1922046606
Entity type
Organization (Type 2)
Enumeration date
June 3, 2006
Last updated
January 21, 2025
Certified
January 21, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9600

Authorized official

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

Other names

  • Avamere Crestview of Portland

About Crestview Operations, LLC

Crestview Operations, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 6530 SW 30TH Ave, Portland, OR 97239-1007. The NPI number 1922046606 was assigned on June 3, 2006 and the record was last updated on January 21, 2025.

The authorized official for this organization is K. Rickard Miller Jr., Manager.

Frequently asked questions

What is the NPI number of Crestview Operations, LLC?

The NPI number is 1922046606.

What is the phone number of Crestview Operations, LLC?

The phone number listed for the practice location is (503) 244-7533.

Where is Crestview Operations, LLC located?

6530 SW 30TH Ave, Portland, OR 97239-1007.

What is the taxonomy code for Crestview Operations, LLC?

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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