| NPI | 1922046606 |
|---|---|
| Doing Business As | AVAMERE CRESTVIEW OF PORTLAND |
| Entity Type | Organization |
| Authorized Contact | K. RICKARD MILLER Manager 503-570-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-07-30 |