Active NPI
Touchmark Living Centers, Inc
Doing business as Crestview
- Skilled Nursing Facility
- Portland, OR
National Provider Identifier
1871537142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 385031
- Legal business name
- TOUCHMARK LIVING CENTERS, INC
- Doing business as
- Crestview
- Practice address
- 6530 SW 30TH Ave
Portland, OR 97239-1007 - Phone
- (503) 244-7533
- Fax
- (503) 244-3596
- NPI assigned
- Jun 16, 2006
- 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
- Mr. Brian E Pryor
- Title
- VP Operations
- Phone
- (503) 646-5186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 385031 | OR | Primary |
Addresses
Primary practice location
6530 SW 30TH Ave
Portland, OR 97239-1007
Mailing address
5150 SW Griffith Dr
Beaverton, OR 97005-2935
Phone (503) 646-5186
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38D062126 | Other | OR | CLIA |
| 800070 | Medicaid | OR |
Other names 1
- Crestview
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 |
|---|---|---|---|
| 38D0623126 | Crestview | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Treasure Valley Manor
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Waterford at Thee Fountains Home Health
- Home Health Agency
- Medford, OR
- NPI 1255367017
-
dba Crestview Home Health
- Home Health Agency
- Beaverton, OR
- NPI 1457395535
-
dba Waterford at Three Fountains
- Skilled Nursing Facility
- Medford, OR
- NPI 1548205354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871537142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 SW GRIFFITH DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052935",
"telephone_number": "503-646-5186",
"fax_number": "503-644-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 SW 30TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391007",
"telephone_number": "503-244-7533",
"fax_number": "503-244-3596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOUCHMARK LIVING CENTERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRYOR",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "503-646-5186",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OR",
"license": "385031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "38D062126",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800070",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crestview",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.