OrganizationActive
Avamere Stafford Operations, LLC
NPI 1619581865 · Assisted Living Facility · Lake Oswego, OR
Provider details
- NPI number
- 1619581865
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Karl Miller, Ceo(503) 570-3405
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1200 Overlook Dr
Lake Oswego, OR 97034-6605
Phone: (503) 636-4589
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Overlook Dr
Lake Oswego, OR 97034-6605
Registry dates
- Enumerated
- 2020-09-04
- Last updated
- 2020-09-04
- Certified
- 2020-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.