AVAMERE MEDICAL SUPPLY LLC NPI 1104829258

NPI Information

AVAMERE MEDICAL SUPPLY LLC is a nursing facility supplies durable medical equipment medical supplies in Wilsonville, OR. AVAMERE MEDICAL SUPPLY LLC NPI is 1104829258. The provider is registered as an organization entity type.
The provider Is Doing Business As Signature Medical Supply.

The provider's business location address is:

25117 SW PARKWAY AVE
STE F
WILSONVILLE, OR
ZIP 97070-697
Phone: (503) 783-2483
Fax: (503) 783-2480

The provider's authorized official is Richard A. Dillon .
The authorized official title is Owner/coo and has the following contact phone number (971) 224-2819.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 1/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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