Avamere St. Helens Operations, LLC
Organization Active NPI Assisted Living Facility · Saint Helens, OR
NPI 1417974239 · NPPES record last updated Jul 30, 2008
Key facts
- NPI
- 1417974239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- AVAMERE ST. HELENS OPERATIONS, LLC
- Practice address
- 2400 Gable Rd
Saint Helens, OR 97051-2963 - Phone
- (503) 366-8070
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
Authorized official
- Name
- K. Rickard Miller Jr.
- Title
- Manager
- Phone
- (503) 570-3405
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2194955 | Avamere at St Helens | Certificate of waiver | Oct 4, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
2400 Gable Rd
Saint Helens, OR 97051-2963
Mailing address
25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9697
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508815 | Medicaid | OR |
Other names
- Avamere at St. Helens
Other providers in Saint Helens, OR
- Maricar Paulo Arceo
- Blaire M Armstrong
- Susan Margaret Asbell
- Corenna Lorene Atwood
- Avamere Gable Road Cottages Operations, LLC
- Naiyar Azhar
- Haley Bacon
- Carrie Bailey
- Jeri L Bailey
- Lindsey Michelle Bailey
All providers in Saint Helens, OR · Assisted Living Facility in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.