PECKHAM-MILLER, INC (NPI# 1346267317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346267317 |
| Entity Type | Organization |
| Organization Name | PECKHAM-MILLER, INC |
| Other Organization Name | AVAMERE REHABILITATION OF HILLSBORO |
| Practice Address |
650 Se Oak St Hillsboro OR 97123-4120 |
| Mailing Address |
25117 Sw Parkway Ave Suite F Wilsonville OR 97070-9697 |
| Practice Telephone | 5036488588 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | K. RICKARD MILLER JR. (MANAGER) |
| Authorized Official Telephone | 5035703405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avamere Rehabilitation of Hillsboro | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PECKHAM-MILLER, INC. | 650 Se Oak St, Hillsboro, OR 97123 |
| Street Address |
650 SE OAK ST |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730735713 | Carrie Marie Birrer | Occupational Therapist | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2019-08-14 |
| 1578124269 | Julia Bartlett | Occupational Therapy Assistant | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2019-06-24 |
| 1295227791 | Stacia Cowgill | Occupational Therapist | 650 Se Oak St, Hillsboro, OR 97123 | 2018-05-31 |
| 1770011264 | Conlin Eric Skaar | Physical Therapist | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2017-05-26 |
| 1184096984 | Gabrielle Andos | Occupational Therapist | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2015-10-20 |
| 1720467830 | Megan Lenore Hernandez | Occupational Therapy Assistant | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2015-05-21 |
| 1184018715 | Emily Ann Hahn | Occupational Therapist | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2015-03-20 |
| 1700282811 | Michael Whitty | Occupational Therapist | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2014-11-17 |
| 1225462344 | Kelly Hills | Occupational Therapist | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2013-08-26 |
| 1508147984 | Christopher Scott Fritzen | Occupational Therapist | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2011-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841693793 | Eastland Memorial Hospital District | Skilled Nursing Facility | 411 Old Brandon Rd, Hillsboro, TX 76645-2702 | 2014-10-07 |
| 1265597462 | Pyramid Healthcare Corp | Skilled Nursing Facility | 1725 Old Brandon Rd, Hillsboro, TX 76645-2702 | 2006-12-27 |
| 1902969330 | Crestwood Ridge Nursing and Rehabilitation, Inc. | Skilled Nursing Facility | 141 Willetsville Pike, Hillsboro, OH 45133-9476 | 2006-12-18 |
| 1306934963 | School Street Associates | Skilled Nursing Facility | 67 School Street, Hillsboro, NH 03244 | 2006-10-10 |
| 1295849784 | St. Joseph's Community Health Services, Inc | Skilled Nursing Facility | 400 Water Avenue, Hillsboro, WI 54634 | 2006-08-19 |
| 1164439931 | Town Hall Estates-hillsboro, Inc. | Skilled Nursing Facility | 300 Happy Ln, Hillsboro, TX 76645-2624 | 2006-08-02 |
| 1710920764 | Salem Hospital, Inc. | Skilled Nursing Facility | 704 S Ash St, Hillsboro, KS 67063-1506 | 2006-06-14 |
| 1184666711 | Heartland of Hillsboro Oh LLC | Skilled Nursing Facility | 1141 Northview Dr, Hillsboro, OH 45133-8525 | 2006-06-11 |
| 1780632471 | Evergreen Oregon Healthcare Tualatin LLC | Skilled Nursing Facility | 1778 Ne Cornell Rd, Hillsboro, OR 97124-2740 | 2006-05-04 |
| 1285621862 | Parkside Homes Inc. | Skilled Nursing Facility | 200 Willow Road, Hillsboro, KS 67063-1999 | 2005-09-29 |
| Find all providers in HILLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.