NPI 1104829258
Avamere Medical Supply LLC
Practice location
- Address
- 25117 SW Parkway Ave STE F, Wilsonville, OR 97070-9697
- Phone
- (503) 783-2483
- Fax
- (503) 783-2480
Authorised official
- Name
- Richard A. Dillon
- Title
- Owner/Coo
- Phone
- (971) 224-2819
Registered specialties (2)
Nursing Facility Supplies (DME)
Primary
Parenteral & Enteral Nutrition Supplies (DME)
Registry record
- NPI
- 1104829258
- Entity type
- Organization
- NPI issued
- 23 May 2005
- Record last updated
- 21 Jan 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.