Avalon Care Center - Portland LLC

Practice location

Address

12640 SE Bush St, Portland, OR 97236-3423

Phone

(503) 761-6621

Mailing address

206 N 2100 W, Salt Lake City, UT 84116-4740

Authorised official

Name

Charles Kirton

Title

Ceo/Chairman

Phone

(801) 596-8844

Registered specialties

Registry record

NPI

1538813670

Entity type

Organization

NPI issued

8 Feb 2022

Record last updated

17 Aug 2022

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.