Organization
AVAMERE OUTPATIENT SERVICES
Active
Other names
Merit Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COWAN (VICE PRESIDENT)
(360) 608-7957
Entity
Organization
Contact information
Practice address
318 CHRISTIAN WAY, WOODSTOCK, IL 60098-2912
(815) 338-1749
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(866) 218-2285
(866) 594-5918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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