Provider Demographics
NPI:1306212295
Name:FILIPOVIC, AMER
Entity Type:Individual
Prefix:
First Name:AMER
Middle Name:
Last Name:FILIPOVIC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 SE 111TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-1106
Mailing Address - Country:US
Mailing Address - Phone:503-307-0056
Mailing Address - Fax:503-946-1875
Practice Address - Street 1:2708 SE 111TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-1106
Practice Address - Country:US
Practice Address - Phone:503-307-0056
Practice Address - Fax:503-946-1875
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home