Organization
PO SNF OPERATIONS LLC
Active
Other names
Avamere Rehabilitation at Ridgemont
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E. KOFSTAD (CEO)
(971) 224-2033
Entity
Organization
Contact information
Practice address
2051 POTTERY AVE, PORT ORCHARD, WA 98366-2010
(360) 876-4461
Mailing address
25115 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-8891
(503) 830-8451
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
02/17/2025
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