Organization
WATERFORD OPERATIONS, LLC
Active
Other names
Avamere at Three Fountains
Organization subpart
No
Provider details
NPI number
Authorized official
K. RICKARD MILLER JR. (MANAGER)
(503) 570-3405
Entity
Organization
Contact information
Practice address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(541) 773-7717
Mailing address
25117 SW PARKWAY AVE, SUITE F, WILSONVILLE, OR 97070-9600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
01/21/2025
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