Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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The Evangelical Lutheran Good Samaritan Society

Organization Skilled Nursing Facility · NPI 1801878293

The Evangelical Lutheran Good Samaritan Society is a Skilled Nursing Facility in Gresham, Oregon. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
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Practice location Address checks out

3457 NE Division St
Gresham, OR 97030-4602
Phone: (503) 667-1965
Fax: (503) 667-1932
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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
Nursing Facility Supplies (DME) Taxonomy 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X

Record details

NPI number1801878293
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Evangelical Lutheran Good Samaritan Society
Authorized official Raye Nae Nylander — Cfo · (605) 362-3100
Other names Good Samaritan Society - Fairlawn Village; Good Samaritan Society - Fairlawn Village
NPI enumeratedNovember 19, 2005
Last updated in NPPESNovember 28, 2021
Certification dateNovember 28, 2021
Mailing addressPo Box 5038, Sioux Falls, SD 57117-5038

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Gresham