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Active NPI 1154738391 Individual Practitioner Male Practitioner

Michael Irvin

Skilled Nursing Facility • Portland, OR

Professional Overview & Biography Verified Profile Summary

Michael Irvin is a registered healthcare professional specializing in Skilled Nursing Facility in Portland, OR. Practice services are available at 6010 SW SHATTUCK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6010 Sw Shattuck Rd

Portland, OR 972211043

Telephone 5032468811
Fax 5032469557
Associated Practice Facility / Clinic
🏢 Marquis Companies I, Inc Facility NPI 1942312905

Specialty Benchmarks & Practice Insights

Comparative analytics for Skilled Nursing Facility in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Portland, OR (18 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Skilled Nursing Facility Primary Specialty

NUCC Taxonomy Code: 314000000X

State License OR 09071

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Derrick Bailey

Occupational Therapy Assistant

NPI 1023431848
Sarah Dunn , OTR, L

Occupational Therapist

NPI 1104231208

Occupational Therapist Registered, L

Jill Valenti , OT

Occupational Therapist

NPI 1164770921

Occupational Therapist

Sia Kruss

Occupational Therapist

NPI 1174032411
Kathryn Chaimov , OTR, L

Occupational Therapist

NPI 1245670264

Occupational Therapist Registered, L

Jackie Moffenbier , PTA

Physical Therapy Assistant

NPI 1336405075

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2014

Registered at 6010 SW SHATTUCK RD, PORTLAND, OR 972211043 (Tel: 5032468811)

📍
Updated Business Mailing Address July 21, 2014

Registered at 1425 NE MASON ST, PORTLAND, OR 972115143 (Tel: 5034534996)

👤
Provider Name / Credentials Updated July 21, 2014

Recorded as MICHAEL IRVIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2014

Skilled Nursing Facility (License #09071 in OR)

🟢
Initial NPI Registration & Enumeration July 21, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154738391
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2014
Last Update: July 21, 2014
Sole Proprietor: Yes

Mailing Address

1425 Ne Mason St

Portland, OR 972115143

Phone: 5034534996

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.