Organization
NECANICUM OPERATIONS, LLC
Active
Other names
Avamere at Seaside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL R MILLER JR. (OWNER)
(503) 570-3405
Entity
Organization
Contact information
Practice address
2500 S ROOSEVELT DR, SEASIDE, OR 97138-6366
(503) 738-0900
Mailing address
25117 SW PARKWAY AVE, SUITE F, WILSONVILLE, OR 97070-9697
(503) 570-3405
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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