Organization Active NPI

RSL Portland, LLC

  • Skilled Nursing Facility
  • Portland, OR
National Provider Identifier
1134411531
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RSL PORTLAND, LLC
Practice address
3060 SE Stark St
Portland, OR 97214-3053
Phone
(503) 535-4700
Fax
(503) 797-6702
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Guffee
Title
President of Radiant Companies, Inc
Phone
(503) 595-2810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3060 SE Stark St
Portland, OR 97214-3053

Mailing address

4640 SW Macadam Ave
Suite 90
Portland, OR 97239-4256
Phone (503) 595-2810

Other names 1

  • Laurelhurst Village Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1134411531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 SW MACADAM AVE",
            "address_2": "SUITE 90",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394256",
            "telephone_number": "503-595-2810",
            "fax_number": "503-595-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143053",
            "telephone_number": "503-535-4700",
            "fax_number": "503-797-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSL PORTLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "GUFFEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT OF RADIANT COMPANIES, INC",
        "authorized_official_telephone_number": "503-595-2810"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurelhurst Village Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.