# ISSAQUAH OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avamere Rehabilitation of Issaquah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053023499
- **Authorized official:** MARY E. KOFSTAD (CEO)
- **Authorized official phone:** (971) 224-2033

## Contact information

- **Practice address:** 805 FRONT ST S, ISSAQUAH, WA 98027-4205
- **Practice address phone:** (425) 392-1271
- **Mailing address:** 25115 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-8891
- **Mailing address phone:** (503) 830-8451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2022
- **Last updated:** 02/17/2025