MEDICARE: WILLAMETTE VIEW INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		OR

General Provider Information

NPI Number	:	1598765406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLAMETTE VIEW INC.

Provider Business Mailing Address
First Line	:	13021 SE RIVER RD
Second Line	:	SUITE 1000
City	:	PORTLAND
State	:	OR
Zip	:	97222-8062
Country	:	US
Telephone Number	:	503-652-6259
Fax Number	:	503-652-6260

Provider Business Practice Location Address
First Line	:	13145 SE RIVER RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97222-8030
Country	:	US
Telephone Number	:	503-353-7000
Fax Number	:	503-353-6255

Authorized Official
Title or Position	:	REVENUE CYCLE COORDINATOR
Name	:	DAWN RUTIS
Credential	:
Telephone Number	:	503-652-6259

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	11/26/2021

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Directions to “WILLAMETTE VIEW INC. ” Practice Location

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