Active NPI
Portland SE 10948 of Cascadia, LLC
- Skilled Nursing Facility
- Portland, OR
National Provider Identifier
1205745239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PORTLAND SE 10948 OF CASCADIA, LLC
- Practice address
- 10948 SE Boise St
Portland, OR 97266-2202 - Phone
- (503) 760-1727
- NPI assigned
- Sep 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Owen Hammond
- Title
- President
- Phone
- (208) 401-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
10948 SE Boise St
Portland, OR 97266-2202
Mailing address
10948 SE Boise St
Portland, OR 97266-2202
Phone (208) 401-9600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1205745239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10948 SE BOISE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972662202",
"telephone_number": "208-401-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10948 SE BOISE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972662202",
"telephone_number": "503-760-1727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTLAND SE 10948 OF CASCADIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "HAMMOND",
"authorized_official_first_name": "OWEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-401-9600"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.