Avemere-Hillsboro Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVEMERE-HILLSBORO OPERATIONS, LLC

Doing business as

Avamere at Hillsboro

Practice address

2000 SE 30TH Ave
Hillsboro, OR 97123-8195

Phone

(503) 693-9944

NPI assigned

Jul 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

K. Rickard Miller Jr.

Title

Manager

Phone

(503) 570-3405

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avamere at Hillsboro Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1073530895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SE 30TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238195",
            "telephone_number": "503-693-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEMERE-HILLSBORO OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "K. RICKARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507530",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avamere at Hillsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keirstalyn Wade Augustyn, MSOT, OTR/L, CSRS
• Patricia Aust
• Avalon Holistic Therapies, LLC
• Aurora Elizabeth Avalos, LMFT, MS, QMHP
• Avamere Hillsboro Cottages Operations, LLC
• Barijisu Awali
• Carly S Axman, PT
• Julia Ayles
• Soledad Tarka Ayres, MD
• Shauyaun Azimi, DO

• Assisted Living Facility in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.