Organization
SAPPHIRE AT GRESHAM REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MICHAEL RICKER (MANAGING MEMBER)
(503) 887-7395
Entity
Organization
Contact information
Practice address
405 NE 5TH ST, GRESHAM, OR 97030-7345
(503) 666-5600
(503) 907-8911
Mailing address
305 NE 102ND AVE STE 250, PORTLAND, OR 97220-4170
(503) 446-2877
(971) 230-5846
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500776692
—
OR
Enumeration date
01/30/2020
Last updated
11/28/2025
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