Avamere Bethany Cottages Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVAMERE BETHANY COTTAGES OPERATIONS, LLC

Practice address

16360 NW Avamere CT
Portland, OR 97229-8833

Phone

(503) 690-2402

NPI assigned

Sep 4, 2020

Organization subpart

No

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

Authorized official

Name

Karl R. Miller Jr.

Title

Ceo

Phone

(503) 570-3405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1831703073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 NW AVAMERE CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16360 NW AVAMERE CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298833",
            "telephone_number": "503-690-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAMERE BETHANY COTTAGES OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "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": [],
    "endpoints": [],
    "other_names": []
}

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• Krishna Kariann Avalon, L.AC
• Mary Anne Avalon
• Lenora Rose Avalos, PTA
• Avamere Bethany Operations, LLC
• Lyudmila N Avanesov, QMHA
• Adam Avant, MD
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• Avatar Healing Arts

• Assisted Living Facility in Portland, OR
• Providers in Portland, 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 Sep 4, 2020; 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.