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NPI Code Detail

MEDICARE: FRIENDSHIP HEALTH SNF OPERATIONS LLC

MEDICARE: FRIENDSHIP HEALTH SNF OPERATIONS LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1750246237
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRIENDSHIP HEALTH SNF OPERATIONS LLC
Provider Business Mailing Address
First Line : 3320 SE HOLGATE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97202-3459
Country : US
Telephone Number : 503-231-1411
Fax Number :
Provider Business Practice Location Address
First Line : 3320 SE HOLGATE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97202-3459
Country : US
Telephone Number : 503-231-1411
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT OF PROCUREMENT
Name : JOSEPH LIEBERMAN
Credential :
Telephone Number : 516-855-5504
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “FRIENDSHIP HEALTH SNF OPERATIONS LLC ” Practice Location

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