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NPI 1356763130ActiveOrganization· Skilled Nursing Facility· Milwaukie, OR

Skilled Nursing Facility in Milwaukie, Oregon, registered in NPPES in January 2014. The authorized official on file is Shannon McKenzie, Pta.

Overview

NPI1356763130
StatusActive
Entity typeOrganization
NPI issuedJan 13, 2014
Last updated in NPPESJan 13, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X08941OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Skilled Nursing Facility providers in Milwaukie

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