Organization
SAPPHIRE AT TIGARD REHAB LLC
Active
Other names
Tigard Rehabilitation and Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MICHAEL RICKER (MANAGING MEMBER)
(503) 887-7395
Entity
Organization
Contact information
Practice address
14145 SW 105TH AVE, PORTLAND, OR 97224-4808
(503) 639-1144
Mailing address
305 NE 102ND AVE STE 250, PORTLAND, OR 97220-4170
(503) 446-2877
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500823245
—
OR
Enumeration date
01/16/2023
Last updated
11/28/2025
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