Healthcare Provider Details

I. General information

NPI: 1467490144
Provider Name (Legal Business Name): RIVERPARK OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 ALEXANDER LOOP
EUGENE OR
97401-6524
US

IV. Provider business mailing address

25117 SW PARKWAY AVE SUITE F
WILSONVILLE OR
97070-9600
US

V. Phone/Fax

Practice location:
  • Phone: 541-345-6199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: K. RICKARD MILLER JR.
Title or Position: MANAGER
Credential:
Phone: 503-570-3405