Active NPI
Willamette View Inc.
- Skilled Nursing Facility
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WILLAMETTE VIEW INC.
- Practice address
- 13145 SE River Rd
Portland, OR 97222-8030 - Phone
- (503) 353-7000
- Fax
- (503) 353-6255
- NPI assigned
- Jul 21, 2005
- Last updated
- Nov 26, 2021
- 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
- Dawn Rutis
- Title
- Revenue Cycle Coordinator
- Phone
- (503) 652-6259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OR | Primary |
Addresses
Primary practice location
13145 SE River Rd
Portland, OR 97222-8030
Mailing address
13021 SE River Rd
Suite 1000
Portland, OR 97222-8062
Phone (503) 652-6259
Other names 1
- Willamette View Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030417000023 | OR | Part A Provider - Skilled Nursing Facility | 0446169304 | Practice locations: Portland, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1598765406. Details of each certification follow.
Skilled nursing facility certification: CCN 385200
- Legal name
- WILLAMETTE VIEW INC.
- Doing business as
- WILLAMETTE VIEW HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- May 12, 1989
- Last certification
- Mar 12, 2025
- Beds
- 6
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 15, 1957 in OR
- Enrollment address
- 13145 SE River Rd
Portland, OR 97222-8030 - Nursing home name
- WILLAMETTE VIEW HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Willamette View Health Center
- Overall star rating
- Health inspections
- Staffing
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- May 12, 1989
- Medicare certification status
- Active
- Certified beds
- 6
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0624635 | Willamette View | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
13021 SE River Rd
Ste 1000
Portland, OR 97222
13145 SE River Rd
Portland, OR 97222
Phone (503) 353-7000
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Engle | Corporate Officer | Aug 1, 2019 | |
| Willamette View Inc. | Operational/Managerial Control | Nov 1, 2010 | |
| Gary Aas | Corporate Officer | Sep 1, 2017 | |
| Ronald Bergan | Corporate Director | Jan 1, 2020 | |
| Matthew Hartley | W-2 Managing Employee | Aug 8, 2017 | |
| Glenna Kruger | Corporate Director | Jan 1, 2021 | |
| Michael Fraser | Corporate Director | Jan 1, 2011 | |
| Craig Iverson | Corporate Director | Jul 1, 2011 | |
| James Marsh | Corporate Director | Jan 1, 2020 | |
| Brian Thompson | Corporate Officer | Jul 1, 2011 | |
| W-2 Managing Employee | Jul 1, 2011 | ||
| Operational/Managerial Control | Jul 1, 2011 | ||
| Ginny Seabrook | Corporate Director | Jan 1, 2019 | |
| Samuel Vigil | Corporate Officer | Sep 1, 2017 | |
| Deidra Krys-Rusoff | Corporate Officer | Aug 1, 2018 | |
| John Hartsock | Corporate Director | Jan 1, 2008 |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Salem, OR
- NPI 1154390276
-
- Geriatric Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1649231226
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637884800000",
"number": "1598765406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13021 SE RIVER RD",
"address_2": "SUITE 1000",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972228062",
"telephone_number": "503-652-6259",
"fax_number": "503-652-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13145 SE RIVER RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972228030",
"telephone_number": "503-353-7000",
"fax_number": "503-353-6255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLAMETTE VIEW INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A",
"authorized_official_last_name": "RUTIS",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "REVENUE CYCLE COORDINATOR",
"authorized_official_telephone_number": "503-652-6259"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Willamette View Health Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Willamette View Health Center",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.