AVAMERE STAFFORD OPERATIONS, LLC (NPI# 1619581865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619581865 |
| Entity Type | Organization |
| Organization Name | AVAMERE STAFFORD OPERATIONS, LLC |
| Practice Address |
1200 Overlook Dr Lake Oswego OR 97034-6605 |
| Practice Telephone | 5036364589 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | KARL R. MILLER JR. (CEO) |
| Authorized Official Telephone | 5035703405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | AVAMERE STAFFORD OPERATIONS, LLC | 25117 Sw Parkway Ste F, Wilsonville, OR 97070 |
| Street Address |
1200 OVERLOOK DR |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255476073 | Margaret J Thompson | Physical Therapist | 1200 Overlook Dr, Lake Oswego, OR 97034-6605 | 2007-02-20 |
| 1417475799 | Katherine Elizabeth Barker | Physical Medicine & Rehabilitation | 1200 Overlook Dr, Lake Oswego, OR 97034-6605 | 2017-09-06 |
| 1013293893 | Robin Elizabeth Cyphers | Massage Therapist | 1200 Overlook Dr, Lake Oswego, OR 97034-6605 | 2011-10-25 |
| 1174810006 | Dona D Johnson | Occupational Therapist | 1200 Overlook Dr, Lake Oswego, OR 97034-6605 | 2011-06-29 |
| 1154625697 | Beth Lori Direnfeld-obrien | Physical Therapist | 1200 Overlook Dr, Lake Oswego, OR 97034-6605 | 2010-12-25 |
| 1467767269 | Premere Rehab LLC | Occupational Therapist | 1200 Overlook Dr, Lake Oswego, OR 97034-6605 | 2010-08-17 |
| 1487808085 | Tiina Anneli Lemetyinen | Physical Therapist | 1200 Overlook Dr, Lake Oswego, OR 97034-6605 | 2008-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987768 | Greenridge Estates Operating LLC | Assisted Living Facility | 4 Greenridge Dr, Lake Oswego, OR 97035-1400 | 2020-06-23 |
| 1972054989 | Holiday Al Nic Management LLC | Assisted Living Facility | 5885 Meadows Rd, Suite 500, Lake Oswego, OR 97035-8639 | 2016-10-14 |
| 1205827037 | Mary's Woods At Marylhurst, Inc | Assisted Living Facility | 17360 Holy Names Dr, Lake Oswego, OR 97034-5137 | 2005-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092520 | W2 Powell Valley, LLC | Assisted Living Facility | 4001 Se 182nd Ave, Gresham, OR 97030-5063 | 2020-10-30 |
| 1790384576 | Pacifica Calaroga Terrace LLC | Assisted Living Facility | 1400 Ne 2nd Ave, Portland, OR 97232-1148 | 2020-10-22 |
| 1023629805 | Barbara Mcvay | Assisted Living Facility | 50792 Huntington Rd, La Pine, OR 97739-9041 | 2020-08-13 |
| 1255959821 | Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC | Assisted Living Facility | 2800 14th Ave Se, Albany, OR 97322-7079 | 2020-07-10 |
| 1639797103 | Northwest Hc Oak Park Or Operator Nt-hci LLC | Assisted Living Facility | 1400 Ne Rocky Ridge Dr, Roseburg, OR 97470-5673 | 2020-07-10 |
| 1912525486 | Northwest Hc Cascadia Village Or Operator Nt-hci LLC | Assisted Living Facility | 25117 Sw Parkway Ave Ste F, Wilsonville, OR 97070-9697 | 2020-07-10 |
| 1255958120 | Elderberry Square Community, LLC | Assisted Living Facility | 3321 Oak St, Florence, OR 97439-9515 | 2020-06-26 |
| 1881211852 | Chancellor Health Care of California Ix, Inc. | Assisted Living Facility | 14550 Se Vista Ln, Milwaukie, OR 97267-1731 | 2020-06-25 |
| 1952927121 | Oregon Alf, LLC | Assisted Living Facility | 15900 Se 82nd Dr, Clackamas, OR 97015-9502 | 2020-06-23 |
| 1881210136 | Lynn Ann Development, LLC | Assisted Living Facility | 1700 Kellenbeck Ave, Grants Pass, OR 97527-4251 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.