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SIGNATURE MEDICAL SUPPLY
NPI 1104829258
Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies in Wilsonville, OR

Active since May 23, 2005
25117 SW PARKWAY AVE, STE F, WILSONVILLE, OR 97070(503) 783-2483(503) 783-2480 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Signature Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIGNATURE MEDICAL SUPPLY (NPI 1104829258) is a healthcare organization registered as a nursing facility supplies in Wilsonville, Oregon and active in the NPI registry since May 2005. The organization lists Richard A. Dillon, Owner/coo, as its authorized official.

NPPES Registry Identity

NPI1104829258
Entity TypeOrganization
Primary Taxonomy332BN1400X
Legal Business NameAVAMERE MEDICAL SUPPLY LLC
Location Address25117 SW PARKWAY AVE, STE FWilsonville, OR 97070-9697
Mailing Address25117 Sw Parkway Ave, Ste FWilsonville, OR 97070-9697 · (503) 783-2483 · Fax (503) 783-2480
Phone(503) 783-2483
Fax(503) 783-2480
Organization SubpartNo
Authorized OfficialRichard A. DillonOwner/coo · (971) 224-2819
Enumeration DateMay 23, 2005
Last NPPES UpdateJanuary 21, 2010
✔ NPI 1104829258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesSuppliers
Taxonomy Code332BN1400X
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X
25117 SW PARKWAY AVE, Wilsonville, OR 97070
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Other Names 1

Doing Business AsSignature Medical Supply

Other Identifiers 4

Medicare NSC5261980001OR
Medicaid230869OR
MedicaidMS001ORAK
Medicaid9052515WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DONNA P GRAY OTA
Occupational Therapy Assistant
25117 SW PARKWAY AVE, STE D
WILSONVILLE, OR 97070
Clackamas County (971) 224-2040
JESSICA FOX PTA
Physical Therapy Assistant
25117 SW PARKWAY AVE, SUITE D
WILSONVILLE, OR 97070
Clackamas County (971) 224-2040
MARCIA E. POWELL PT
Physical Therapist
25117 SW PARKWAY AVE, SUITE D
WILSONVILLE, OR 97070
Clackamas County (503) 570-3665
THERESA MARTHALER
Physical Therapy Assistant
25117 SW PARKWAY AVE, SUITE D
WILSONVILLE, OR 97070
Clackamas County (503) 570-3665
TRENTON MICHAEL SMITH OTR/L
Occupational Therapist (Physical Rehabilitation)
25117 SW PARKWAY AVE, SUITE D
WILSONVILLE, OR 97070
Clackamas County (888) 757-3422
JACOB J. SWAIN M.S.
Speech-Language Pathologist
25117 SW PARKWAY AVE, STE. D
WILSONVILLE, OR 97070
Clackamas County (503) 570-3665
LINDSAY DUBUQUE DPT
Physical Therapist
25117 SW PARKWAY AVE, SUITE D
WILSONVILLE, OR 97070
Clackamas County (971) 224-2040
MELINDA R MULLIGAN O.T.
Occupational Therapist
25117 SW PARKWAY AVE, STE D
WILSONVILLE, OR 97070
Clackamas County (503) 570-3665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avamere Medical Supply LLC's NPI number?

The NPI number for Avamere Medical Supply LLC is 1104829258. It was assigned to this organization in the NPPES registry on May 23, 2005. The provider is doing business as Signature Medical Supply.

Where is Avamere Medical Supply LLC located?

Avamere Medical Supply LLC is located at 25117 SW Parkway Ave Ste F, Wilsonville, OR 97070. The listed phone number is (503) 783-2483.

What is Avamere Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Nursing Facility Supplies, with taxonomy code 332BN1400X.

When was this NPI record last updated?

The NPPES record for Avamere Medical Supply LLC was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.