| NPI | 1487975959 |
|---|---|
| Doing Business As | MIRABELLA PORTLAND |
| Entity Type | Organization |
| Authorized Contact | SHARON VAN EATON Executive Director 503-901-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 1233196437) |
| 311Z00000X Custodial Care Facility | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: OR 1753514587) | |
| 310400000X Assisted Living Facility (Licence: OR 1291022896) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2025-12-02 |