Serving Multnomah, Washington & Clackamas counties, Oregon Referral line 1-877-732-2631Veteran-owned

About North Star · Oregon RN delegation · community nursing · Medicaid & private pay

Patient-centered care is our mission. Nursing excellence is our standard. Trust is something we earn every day.

North Star provides registered-nurse delegation and community nursing support for care teams across the Portland metropolitan area. We serve clients with Medicaid and private-pay arrangements.

Excellence Earns Trust.

Call 1-877-732-2631 How referrals work

Founded byMarkus Mastrud, RN, BSNVeteran · Registered nurse

Veteran-owned
RN-owned
Medicaid & private pay
Portland metro, Oregon

Where we work

The Portland metropolitan area

Mount Hood · Oregon

CountyMultnomahPortland and east county
CountyWashingtonBeaverton, Hillsboro, Tigard
CountyClackamasOregon City, Milwaukie, Lake Oswego

Veteran-owned leadership

Veteran-owned. Nurse-led. Accountable by design.

Founded by Markus Mastrud, RN, BSN, North Star is a veteran-owned, RN-led Oregon practice. Veteran ownership informs how we show up: prepared, accountable, calm and respectful of every person who trusts us with care.

After a career in military service and private security, I became a nurse to continue serving others in a different way. North Star Nurse Delegation was built on that same commitment—lead with integrity, teach with purpose, put safety first, and make every client feel like they are our only client.

— Markus Mastrud, RN, BSN, Founder & CEO

Every Life MattersThe client is a person with a history, not a set of delegated tasks.
Every Relationship CountsCaregivers, families and case managers are colleagues in the same care.
Every Day, We Earn TrustTrust is the outcome of the work, and it is re-earned on every visit.

Care provided

Nurse-led delegation and community nursing

Care may begin with an assessment and medication review, then continue with teaching, delegation, monitoring and follow-through tailored to the client and care team.

Referral support

Referral intake and triage

We begin by understanding the client, their care team and the support that may be needed.

Clinical assessment

Nursing assessment

A registered nurse assesses the client and care plan before deciding whether delegation is appropriate.

Medication safety

Medication review

The nurse reviews what is prescribed, what is actually taken and what a caregiver is being asked to give.

Delegation planning

Caregiver delegation decisions

The nurse decides what may be delegated, to whom and under what circumstances.

Caregiver readiness

Caregiver teaching and competency validation

Teaching is client-specific, and competence is observed rather than assumed.

Clinical oversight

Ongoing clinical monitoring

Delegation is a continuing nursing relationship with follow-through as the client’s needs change.

Care continuity

Reassessment and renewal

Care changes, so nursing direction and delegated tasks are reviewed to keep the plan current.

Procedural guidance

Client-specific procedural guidance

Guidance is built around the client, procedure and caregiver rather than a generic task list.

Change response

Change-in-condition response

When needs change, the nurse reassesses, communicates next steps and updates the care plan as appropriate.

Care and access

Support that begins with the whole care team

Care setting

Care teams close to home

We support clients, caregivers, families, case managers and community partners in homes and eligible community-based settings.

Medicaid & private pay

Clear expectations before care begins

We serve clients with Medicaid and private-pay arrangements. Every referral is reviewed for clinical fit, authorization and payer requirements.

Referral questions

Before you call

Care starts with a clear conversation. Talk with our team about the nursing support your setting needs and the referral or payment path for the client.

What is nurse delegation?

A registered nurse assesses the client, decides which nursing tasks may be safely delegated, teaches the client’s caregivers to perform them, validates that competence in person and keeps monitoring as needs change. It is a continuing nursing relationship, not a one-time sign-off.

Do you replace the caregivers we already have?

No. Delegation works through the caregivers already in place — the nurse teaches, validates and oversees them for the client’s specific tasks. Caregivers, families and case managers are colleagues in the same care.

Where does the care happen?

In homes and eligible community-based settings across Multnomah, Washington and Clackamas counties in the Portland metropolitan area.

Who can contact North Star?

Clients, families, caregivers, case managers, agencies and clinicians can call the referral line to discuss whether the requested nursing support is a fit.

What happens when I call?

We will talk through the requested nursing support, setting, care team and next appropriate step. Every referral is reviewed for clinical fit, authorization and payer requirements.

What helps to have ready when you call?

It helps to know the client’s care setting, who provides their care today and whether the client has Medicaid or a private-pay arrangement — but you do not need everything answered to start the conversation.

Do you work with Medicaid and private pay?

Yes. We serve clients with Medicaid and private-pay arrangements. The referral team can talk through the pathway for your setting and the client’s needs.

When can services begin?

Every referral is reviewed for clinical fit, authorization and payer requirements before care begins.