Organization
ISSAQUAH OPERATIONS, LLC
Active
Other names
Avamere Rehabilitation of Issaquah
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E. KOFSTAD (CEO)
(971) 224-2033
Entity
Organization
Contact information
Practice address
805 FRONT ST S, ISSAQUAH, WA 98027-4205
(425) 392-1271
Mailing address
25115 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-8891
(503) 830-8451
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
02/17/2025
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