| NPI | 1619447554 |
|---|---|
| Doing Business As | AVAMERE REHABILITATION AT FIESTA PARK |
| Entity Type | Organization |
| Authorized Contact | CHRIS OLSON Senior Paralegal 503-570-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |