Organization
AVAMERE LAKE OSWEGO OPERATIONS INVESTORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E. KOFSTAD (CEO)
(971) 224-2033
Entity
Organization
Contact information
Practice address
4550 CARMAN DR, LAKE OSWEGO, OR 97035-2520
(503) 675-6055
Mailing address
4550 CARMAN DR, LAKE OSWEGO, OR 97035-2520
(503) 675-6055
(503) 675-6077
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
02/17/2025
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