Avamere Crestview of Portland – Skilled Nursing Facility, NPI 1922046606

Avamere Crestview of Portland is a healthcare provider. based in Wilsonville, Oregon. specializing in Skilled Nursing Facility. The NPI Number for Avamere Crestview of Portland is 1922046606

Main info

Organization
Name
Avamere Crestview of Portland
NPI
1922046606
Phone
Not provided
Address
25117 SW PARKWAY AVE
Authorized Official
K. RICKARD MILLER JR. MANAGER
Enumeration Date
3 June 2006
Last Update Date
21 January 2025

Contacts

Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinServi
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness90
Years active:20State licenses:0Updated within 12 months

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Provider Addresses for Avamere Crestview of Portland

  • Signature, 25117, Southwest Parkway Avenue, Wilsonville, Metro, Washington County, Oregon, 97070, United States

    SUITE F

    WILSONVILLE, OR 970709600

    Phone:

    Type: Mailing

  • Crestview, 6530, Southwest 30th Avenue, Hillsdale, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972391007

    Phone: (503) 244-7533

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060720000335OSkilled Nursing FacilityORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97070)

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Reviews

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Frequently asked questions

What is Avamere Crestview of Portland's NPI number?
Avamere Crestview of Portland's NPI is 1922046606 — the number used across U.S. healthcare to identify this provider.
Is Avamere Crestview of Portland still an active registrant?
Avamere Crestview of Portland carries an active NPI according to the public dataset.
How would a patient describe Avamere Crestview of Portland's focus?
For Avamere Crestview of Portland, the primary taxonomy reads as Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What locale is associated with Avamere Crestview of Portland?
Directory geography for Avamere Crestview of Portland centers on Wilsonville, Oregon.
Does Avamere Crestview of Portland accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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