Organization
AVALON CARE CENTER - PORTLAND LLC
Active
Other names
Avalon Care Center - Portland, Avalon Residential Care Center Portland
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KIRTON (CEO/CHAIRMAN)
(801) 596-8844
Entity
Organization
Contact information
Practice address
12640 SE BUSH ST, PORTLAND, OR 97236-3423
(503) 761-6621
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 596-8844
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
08/17/2022
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