- Practice location
- 19495 SW Blanton St, Beaverton, OR 97078-1220
- Phone
- 971-371-4474
- Fax
- —
- Last updated
- June 8, 2026
Avalon Wellness Living LLC is a healthcare organization based in Beaverton, OR. Avalon Wellness Living LLC practices in Beaverton, OR. The NPI Number for Avalon Wellness Living LLC is 1245163179. The current practice location address for Avalon Wellness Living LLC is 19495 SW Blanton St, Beaverton, OR 97078-1220 and can be reached out via phone at 971-371-4474.
Provider Profile Details
- NPI Number
- 1245163179
- Provider Name
- Avalon Wellness Living LLC
- Provider Entity Type
- Organization
- Address
- 19495 SW Blanton St, Beaverton, OR 97078-1220
- Phone Number
- 971-371-4474
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- Yes
- Parent Organization
- Avalon Wellness Living LLC
- Authorized Official
- Rahel Masresha · Administrative Director · 503-740-4522
- Provider Enumeration Date
- June 8, 2026
- Last Update Date
- June 8, 2026
- Certification Date
- June 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19495 SW Blanton St
Beaverton, OR 97078-1220 - City
- Beaverton
- State
- Oregon
- Zip
- 97078-1220
- Phone Number
- 971-371-4474
Provider Business Mailing Address Details
- Address
- 13205 SW Watkins Ave
Portland, OR 97223-3870 - City
- Portland
- State
- OR
- Zip
- 97223-3870
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Assisted Living Facility, Assisted Living, Mental Illness · 3104A0625X
- Taxonomy (3)
- Psychiatric Residential Treatment Facility · 323P00000X
- Taxonomy (4)
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Avalon Wellness Living LLC?
The NPI number of Avalon Wellness Living LLC is 1245163179. It was assigned on June 8, 2026 and is currently active in the NPPES registry.
What is the specialty of Avalon Wellness Living LLC?
Avalon Wellness Living LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does Avalon Wellness Living LLC practice?
The practice location is 19495 SW Blanton St, Beaverton, OR 97078-1220. The office can be reached at 971-371-4474 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245163179 directly on the NPPES registry website.