Organization
AVAMERE STAFFORD OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL R. MILLER JR. (CEO)
(503) 570-3405
Entity
Organization
Contact information
Practice address
1200 OVERLOOK DR, LAKE OSWEGO, OR 97034-6605
(503) 636-4589
Mailing address
1200 OVERLOOK DR, LAKE OSWEGO, OR 97034-6605
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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