Organization
MIRABELLA AT SOUTH WATERFRONT
Active
Other names
Mirabella Portland
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON VAN EATON (EXECUTIVE DIRECTOR)
(503) 901-2939
Entity
Organization
Contact information
Practice address
3550 S BOND AVE, PORTLAND, OR 97239-4507
(503) 688-6400
Mailing address
3550 S BOND AVE, PORTLAND, OR 97239-4507
(503) 688-6400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1291022896
OR
311500000X
Alzheimer Center (Dementia Center)
1753514587
OR
311Z00000X
Custodial Care Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
1233196437
OR
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/18/2010
Last updated
12/02/2025
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