MEDICARE: AVAMERE ST. HELENS OPERATIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417974239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVAMERE ST. HELENS OPERATIONS, LLC

Provider Business Mailing Address
First Line	:	25117 SW PARKWAY AVE
Second Line	:	SUITE F
City	:	WILSONVILLE
State	:	OR
Zip	:	97070-9697
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 GABLE RD
Second Line	:
City	:	SAINT HELENS
State	:	OR
Zip	:	97051-2963
Country	:	US
Telephone Number	:	503-366-8070
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	K. RICKARD MILLER JR.
Credential	:
Telephone Number	:	503-570-3405

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	07/30/2008

Similar Medicare Providers

1477167617 — AVAMERE GABLE ROAD COTTAGES OPERATIONS, LLC
Practice Location Address:

2400 GABLE RD
SAINT HELENS, OR
97051-2963

Practice Phone: 503-366-8070
Practice Fax:

1841298171 — ST. JOSEPH NEPHROLOGY ASSOCIATES, P.A.
Practice Location Address:

1009 W SAINT MAARTENS DR , SUITE F
SAINT JOSEPH, MO
64506-2963

Practice Phone: 816-232-8145
Practice Fax: 816-279-1840

1205139730 — STREETERVILLE INTERNAL MEDICINE, PLLC
Practice Location Address:

676 N SAINT CLAIR ST STE 1740
CHICAGO, IL
60611-2963

Practice Phone: 312-926-0444
Practice Fax: 312-926-0444

1285907956 — LEAH MARIE MUNTGES MOTR/L
Practice Location Address:

5210 NOTTINGHAM AVE
SAINT LOUIS, MO
63109-2963

Practice Phone: 314-791-5906
Practice Fax:

1831446129 — RICH SOLE LMT
Practice Location Address:

1009 W SAINT MAARTENS DR , STE A
SAINT JOSEPH, MO
64506-2963

Practice Phone: 660-359-1839
Practice Fax:

1972172393 — ZOE CHRACHELLA ROSS OTR/L
Practice Location Address:

2963 DODDRIGE AVE
SAINT LOUIS, MO
63043

Practice Phone: 314-409-8240
Practice Fax:

Directions to “AVAMERE ST. HELENS OPERATIONS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.