Aging and People with Disabilities
Safety, Oversight and Quality
Print Provider: Portland Health And Rehabilitation
Provider Information
12441 SE STARK STREET
Portland, OR 97233
- Provider ID
- 385228
- Administrator
- Duffy Dezember
- Phone
- (503) 255-7040
- duffy.dezember@portlandhc.com
Additional Provider Details
- ID
- 385228
- Status
- Open
- Type
- Nursing Facility
- Licensed beds
- 105
- Accepts Medicaid
- Yes
- Memory Care
- No
- Owner
-
Yitzchok Yenowitz
525 North Detroit Street
Los Angeles, 90036
- Owner since
- 5/1/2023
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.