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AVALON WELLNESS LIVING LLC
NPI 1174321657
Community Based Residential Treatment Facility, Mental Illness in Tigard, OR

Active since March 03, 2025
13205 SW WATKINS AVE, TIGARD, OR 97223(503) 740-4522(971) 246-5082 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 25, 2025, Mar 3, 2025 (2 updates tracked since 2025).

About Avalon Wellness Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON WELLNESS LIVING LLC (NPI 1174321657) is a healthcare organization registered as a community based residential treatment facility, mental illness in Tigard, Oregon and active in the NPI registry since March 2025. The organization lists Rahel Masresha, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174321657
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameAVALON WELLNESS LIVING LLC
Location Address13205 SW WATKINS AVETigard, OR 97223-3870
Mailing Address13205 Sw Watkins AveTigard, OR 97223-3870
Phone(503) 740-4522
Fax(971) 246-5082
Organization SubpartNo
Authorized OfficialRahel MasreshaAdministrator · (503) 740-4522
Enumeration DateMarch 3, 2025
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1174321657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
13205 SW WATKINS AVE, Tigard, OR 97223
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon Wellness Living LLC's NPI number?

The NPI number for Avalon Wellness Living LLC is 1174321657. It was assigned to this organization in the NPPES registry on March 3, 2025.

Where is Avalon Wellness Living LLC located?

Avalon Wellness Living LLC is located at 13205 SW Watkins Ave, Tigard, OR 97223. The listed phone number is (503) 740-4522.

What is Avalon Wellness Living LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Avalon Wellness Living LLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.