Organization
CREEKSIDE REHABILITATION AND NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER ERIC MYERS (MANAGING PARTNER)
(801) 709-4358
Entity
Organization
Contact information
Practice address
812 SE 48TH AVE, PORTLAND, OR 97215-1724
(503) 236-2624
Mailing address
812 SE 48TH AVE, PORTLAND, OR 97215-1724
(503) 236-2624
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/26/2016
Last updated
11/30/2016
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