# AVAMERE OUTPATIENT SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Merit Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437455938
- **Authorized official:** MARK COWAN (VICE PRESIDENT)
- **Authorized official phone:** (971) 224-2812

## Contact information

- **Practice address:** 25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
- **Practice address phone:** (888) 757-3422
- **Practice address fax:** (877) 282-1880
- **Mailing address:** 25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
- **Mailing address phone:** (888) 757-3422
- **Mailing address fax:** (877) 282-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2011
- **Last updated:** 01/31/2011