NPI 1245163179
Avalon Wellness Living LLC
Practice location
- Address
- 19495 SW Blanton St, Beaverton, OR 97078-1220
- Phone
- (971) 371-4474
- Mailing address
- 13205 SW Watkins Ave, Portland, OR 97223-3870
Authorised official
- Name
- Rahel Masresha
- Title
- Administrative Director
- Phone
- (503) 740-4522
Registered specialties (4)
Mental Illness Community Based Residential Treatment Facility
Primary
Community/Behavioral Health Agency
Assisted Living Facility (Mental Illness)
Psychiatric Residential Treatment Facility
Registry record
- NPI
- 1245163179
- Entity type
- Organization
- NPI issued
- 8 Jun 2026
- Record last updated
- 8 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.