Evergreen Oregon Healthcare Tualatin LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1665 Issued in OR

Legal business name

EVERGREEN OREGON HEALTHCARE TUALATIN LLC

Doing business as

EmpRes Hillsboro Health and Rehabilitation Center

Practice address

1778 NE Cornell Rd
Hillsboro, OR 97124-2740

Phone

(503) 648-6621

Fax

(503) 648-4443

NPI assigned

May 4, 2006

Organization subpart

Yes

Parent organization

EMPRES OREGON HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Brent Weil

Title

Ceo and Manager

Phone

(360) 892-6628

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EmpRes Hillsboro Health and Rehabilitation Center Doing business as

Practitioners 1

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

• Mark W Cheng, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
  • NPI 1871899740
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1780632471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NE 77TH AVE",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626736",
            "telephone_number": "360-892-6628",
            "fax_number": "360-882-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971242740",
            "telephone_number": "503-648-6621",
            "fax_number": "503-648-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN OREGON HEALTHCARE TUALATIN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPRES OREGON HEALTHCARE, LLC",
        "enumeration_date": "2006-05-04",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO AND MANAGER",
        "authorized_official_telephone_number": "360-892-6628"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "1665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801043",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EmpRes Hillsboro Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Estrella Quiropractico
• Eugene C. Skourtes, Inc., PS (Willamette Dental Group)
• Laura Elizabeth Evans, P.T.
• Randall Evans, DC
• Dawnielle Everett, LMT
• Evergreen Prosthetics and Orthotics, LLC
• Elizabeth Mae Evergreen, LMT
• Everlasting Care LLC
• Tracy Ann Evers-Selleck, REGISTERED NURSE
• Richard James Lawrence Everts

• Skilled Nursing Facility in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.