Organization
AVAMERE SANDY OPERATIONS, LLC
Active
Other names
Avamere at Sandy
Organization subpart
No
Provider details
NPI number
Authorized official
K. RICKARD MILLER JR. (MANAGER)
(503) 570-3405
Entity
Organization
Contact information
Practice address
17727 SE LANGENSAND RD, SANDY, OR 97055-6487
(503) 668-4199
Mailing address
25117 SW PARKWAY AVE, SUITE F, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507078
—
OR
Enumeration date
07/16/2006
Last updated
07/30/2008
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