Organization
AVILA CARE LLC
Active
Other names
NW Family Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL BASTARDO (OWNER)
(573) 719-8770
Entity
Organization
Contact information
Practice address
10365 SE SUNNYSIDE RD STE 210, CLACKAMAS, OR 97015-5749
(573) 719-8770
Mailing address
10753 SE DEER FERN ST, HAPPY VALLEY, OR 97086-9650
(573) 719-8770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
03/23/2026
Last updated
04/08/2026
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