Avamere Medical Supply Llc in Wilsonville - Parenteral & Enteral Nutrition
Avamere Medical Supply Llc - NPI 1104829258
Avamere Medical Supply Llc is a Parenteral & Enteral Nutrition in Wilsonville, Oregon. Avamere Medical Supply Llc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Avamere Medical Supply Llc is 1104829258. The last update date is 2010-01-21.
Avamere Medical Supply Llc's current location address is 25117 Sw Parkway Ave, Wilsonville, Oregon. You can contact this provider via phone number 5037832483 and fax number 5037832480. The mailing address for Avamere Medical Supply Llc is 25117 Sw Parkway Ave, Wilsonville, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avamere Medical Supply Llc |
|---|---|
| Address | 25117 Sw Parkway Ave, Wilsonville, Oregon |
| Phone Number | 5037832483 |
| Fax Number | 5037832480 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/COO |
|---|---|
| Authorized Official Name | Dillon A. Richard |
| Telephone Number | 9712242819 |
NPI Number Detail
| NPI Number | 1104829258 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2010-01-21 |
Provider Mailing Address Detail
| Address | 25117 Sw Parkway Ave |
|---|---|
| City | Wilsonville |
| State | Oregon (OR) |
| Post Code | 9707096970 |
| Phone Number | 5037832483 |
| Fax Number | 5037832480 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230869 | OR | -- | |
| 9052515 | WA | -- | |
| MS001OR | AK | -- |
Post Comment/ Review Below
What is the Avamere Medical Supply Llc's 1104829258?
The Avamere Medical Supply Llc's NPI (National Provider Identifier) Number is 1104829258. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Avamere Medical Supply Llc is physically located?
The Avamere Medical Supply Llc is physically situated at the following address: 25117 Sw Parkway Ave, Wilsonville, OR, 9707096970.
What is Avamere Medical Supply Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Avamere Medical Supply Llc is Parenteral & Enteral Nutrition, and the taxonomy code that classifies this field of practice is 332Bp3500X.
When did the Avamere Medical Supply Llc receive its 1104829258?
The Avamere Medical Supply Llc was issued its 1104829258 on 2005-05-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Avamere Medical Supply Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Avamere Medical Supply Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-01-21.
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