Avamere Outpatient Services LLC
NPI #1437455938 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1437455938
- Entity Type
- Organization
- Organization Name
- Avamere Outpatient Services LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 31, 2011
- Last Updated
- Jan 31, 2011
Practice Location
- Address
- 25117 SW PARKWAY AVE
- Address 2
- SUITE D
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9697
- Phone
- (888) 757-3422
Authorized Official
- Name
- MARK COWAN
- Title
- VICE PRESIDENT
- Phone
- (971) 224-2812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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