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Avamere Medical Supply Llc
Parenteral & Enteral Nutrition Supplies (DME) in Wilsonville, Oregon
NPI 1104829258

Avamere Medical Supply Llc is a Parenteral & Enteral Nutrition Supplies (DME) based in Wilsonville, OR and is specialized in Parenteral & Enteral Nutrition. Avamere Medical Supply Llc practices in Wilsonville, OR. The NPI Number for Avamere Medical Supply Llc is 1104829258 and holds a License No. (Oregon).

The current practice location address for Avamere Medical Supply Llc is 25117 Sw Parkway Ave, Wilsonville, OR and can be reached out via phone at 503-783-2483 and via fax at 503-783-2480.

Location: 25117 Sw Parkway Ave, Wilsonville, OR, 97070-9697
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104829258
Provider Name
Avamere Medical Supply Llc
Credential
Provider Entity Type
Organization
Address
25117 Sw Parkway Ave, Wilsonville, OR, 97070-9697
Phone Number
503-783-2483
Fax Number
503-783-2480
Provider Enumeration Date
05/23/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
230869 05 OR
9052515 05 WA
MS001OR 05 AK
institution
Provider Business Practice Location Address Details
Address
25117 Sw Parkway Ave
City
Wilsonville
State
Oregon
Zip
97070-9697
Phone Number
503-783-2483
Fax Number
503-783-2480
person
Provider Business Mailing Address Details
Address
25117 Sw Parkway Ave
City
Wilsonville
State
Oregon
Zip
97070-9697
Phone Number
503-783-2483
Fax Number
503-783-2480
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
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