Organization
KING CITY REHAB, LLC
Active
Other names
Avamere Rehabilitation of King City
Organization subpart
No
Provider details
NPI number
Authorized official
K. RICKARD MILLER JR. (MANAGER)
(503) 570-3405
Entity
Organization
Contact information
Practice address
16485 SW PACIFIC HWY, TIGARD, OR 97224-3446
(503) 620-5141
(971) 223-0410
Mailing address
25117 SW PARKWAY AVE, SUITE F, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
01/21/2025
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