Organization
SAPPHIRE AT GRACELEN LLC
Active
Other names
Gracelen Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MICHAEL RICKER (MANAGING MEMBER)
(503) 887-7395
Entity
Organization
Contact information
Practice address
10948 SE BOISE ST, PORTLAND, OR 97266-2202
(503) 760-1727
Mailing address
305 NE 102ND AVE STE 250, PORTLAND, OR 97220-4170
(503) 887-7395
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500829852
—
OR
Enumeration date
11/20/2023
Last updated
11/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us