Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mirabella at South Waterfront

Skilled Nursing Facility in Portland, OR · enumerated 2010 · authorized official Sharon Van Eaton, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487975959

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Registry record

Entity type Organization (Type 2)

Legal business name Mirabella at South Waterfront

Other name <Unavail>

Practice address 3550 S Bond Ave, Portland, OR, 97239

Phone (503) 688-6400

Enumeration date Jun 18, 2010

Last updated in NPPES Dec 2, 2025

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 1291022896 (OR) Secondary

311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities · License 1753514587 (OR) Secondary

311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities Secondary

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 1233196437 (OR) Secondary

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Sharon Van Eaton

Title Executive Director

Phone (503) 901-2939

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-12-02. Verify at npiregistry.cms.hhs.gov.

Where is Mirabella at South Waterfront located?

The practice location on file with NPPES is in Portland, OR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-02.