Organization
AVALON WELLNESS LIVING LLC
Active
Organization
AVALON WELLNESS LIVING LLC
Active
Parent organization
AVALON WELLNESS LIVING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVALON WELLNESS LIVING LLC
Authorized official
RAHEL MASRESHA (ADMINISTRATIVE DIRECTOR)
(503) 740-4522
Entity
Organization
Contact information
Practice address
19495 SW BLANTON ST, BEAVERTON, OR 97078-1220
(971) 371-4474
Mailing address
13205 SW WATKINS AVE, PORTLAND, OR 97223-3870
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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