Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL IRVIN
Active Sole ProprietorMICHAEL IRVIN is a Skilled Nursing Facility healthcare provider located in PORTLAND, Oregon. NPI 1154738391 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · PORTLAND, OR
Registration Details
- NPI Number
- 1154738391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2014 (12.037766918298 yrs)
- Last Updated
- Jul 21, 2014
- License
-
09071 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6010 SW SHATTUCK RDPORTLAND, OR, 972211043Browse OR providers · Browse ZIP 97221
- Phone
- 5032468811
- Fax
- 5032469557
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Other Skilled Nursing Facility Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| SHONNA RAE GOLDMANN | — | 1205096765 |
| ANITA AUGUST | PT | 1942437298 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.