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Avamere Medical Supply LLC

Nursing Facility Supplies (DME) in Wilsonville, OR · enumerated 2005 · authorized official Richard Dillon, Owner/Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104829258

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Avamere Medical Supply LLC
Other name <Unavail>
Practice address 25117 Sw Parkway Ave, Ste F, Wilsonville, OR, 97070
Phone (503) 783-2483
Fax (503) 783-2480
Enumeration date May 23, 2005
Last updated in NPPES Jan 21, 2010

Taxonomy & classification

332BN1400X Nursing Facility Supplies (DME) Suppliers Primary
332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers Secondary

Authorized official

Name Richard Dillon
Title Owner/Coo
Phone (971) 224-2819

Other identifiers

Identifier Type State Issuer
230869 Medicaid OR -
9052515 Medicaid WA -
MS001OR Medicaid AK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Avamere Medical Supply LLC?
The NPI for Avamere Medical Supply LLC is 1104829258, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Avamere Medical Supply LLC?
NPPES lists Richard Dillon (Owner/Coo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-21.