# TACOMA REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avamere at Pacific Ridge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053459925
- **Authorized official:** KARL MILLER JR. (CEO)
- **Authorized official phone:** (503) 570-3405

## Contact information

- **Practice address:** 3625 E B ST, TACOMA, WA 98404-1524
- **Practice address phone:** (253) 475-2507
- **Practice address fax:** (253) 473-9087
- **Mailing address:** 25117 SW PARKWAY AVE, SUITE F, WILSONVILLE, OR 97070-9697

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 01/21/2025