OrganizationActive
Avalon Care Center - Portland LLC
NPI 1538813670 · Nursing Facility/Intermediate Care Facility · Portland, OR
Provider details
- NPI number
- 1538813670
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Kirton, Ceo/Chairman(801) 596-8844
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
12640 Se Bush St
Portland, OR 97236-3423
Phone: (503) 761-6621
Approximate (ZIP-level) locationGet directions
Mailing address
206 N 2100 W
Salt Lake City, UT 84116-4740
Other names (DBA / former)
- Doing business as
- Avalon Care Center - Portland
- Doing business as
- Avalon Care Center - Portland
- Doing business as
- Avalon Residential Care Center Portland
Registry dates
- Enumerated
- 2022-02-08
- Last updated
- 2022-08-17
- Certified
- 2022-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.