AVAMERE BETHANY OPERATIONS LLC NPI 1790702629

NPI Information

  • NPI: 1790702629
  • Provider Name: AVAMERE BETHANY OPERATIONS, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: AVAMERE AT BETHANY
  • CLIA Number: 38D2196017
  • Address: 16360 NW AVAMERE CT
    PORTLAND, OR
    ZIP 97229
  • Phone: (503) 690-2402

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NPI Details

AVAMERE BETHANY OPERATIONS, LLC is an assisted living facility in Portland, OR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. AVAMERE BETHANY OPERATIONS, LLC NPI is 1790702629. The provider is registered as an organization entity type.
The provider Is Doing Business As Avamere At Bethany.

The provider's business location address is:

16360 NW AVAMERE CT
PORTLAND, OR
ZIP 97229-833
Phone: (503) 690-2402

The provider's authorized official is K. Rickard Miller .
The authorized official title is Manager and has the following contact phone number (503) 570-3405.

The CLIA number assigned to this NPI record is 38D2196017 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/30/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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