Avamere Medical Supply LLC
NPI #1104829258 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1104829258
- Entity Type
- Organization
- Organization Name
- Avamere Medical Supply LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies
- Enumeration Date
- May 23, 2005
- Last Updated
- Jan 21, 2010
Practice Location
- Address
- 25117 SW PARKWAY AVE
- Address 2
- STE F
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9697
- Phone
- (503) 783-2483
Authorized Official
- Name
- MR. RICHARD A. DILLON
- Title
- OWNER/COO
- Phone
- (971) 224-2819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies — Nursing Facility Supplies |
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