Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mirabella at South Waterfront

Organization Assisted Living Facility · NPI 1487975959

Mirabella at South Waterfront is an Assisted Living Facility in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
Specialties on file
5
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Practice location Address checks out

3550 S Bond Ave
Portland, OR 97239-4507
Phone: (503) 688-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X
Assisted Living Facility Taxonomy 310400000X · Licence 1291022896 (OR)
Alzheimer Center (Dementia Center) Taxonomy 311500000X · Licence 1753514587 (OR)
Custodial Care Facility Taxonomy 311Z00000X
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X · Licence 1233196437 (OR)

Record details

NPI number1487975959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Van Eaton — Executive Director · (503) 901-2939
Other names Mirabella Portland
NPI enumeratedJune 18, 2010
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address3550 S Bond Ave, Portland, OR 97239-4507

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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