Whalio Doctors

NPI 1104829258

Avamere Medical Supply LLC

Organisation Nursing Facility Supplies (DME) Wilsonville, OR

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
Suppliers Taxonomy 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME)
Suppliers Taxonomy 332BP3500X

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.