Organization Active NPI

Avila Care LLC

Doing business as NW Family Wellness

  • Chiropractor
  • Clackamas, OR
National Provider Identifier
1043158173
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AVILA CARE LLC
Doing business as
NW Family Wellness
Practice address
10365 SE Sunnyside Rd Ste 210
Clackamas, OR 97015-5749
Phone
(573) 719-8770
NPI assigned
Mar 23, 2026
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Manuel Bastardo
Title
Owner
Phone
(573) 719-8770

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Acupuncturist 171100000X
Massage Therapist 225700000X

Addresses

Primary practice location

10365 SE Sunnyside Rd Ste 210
Clackamas, OR 97015-5749

Mailing address

10753 SE Deer Fern St
Happy Valley, OR 97086-9650
Phone (573) 719-8770

Other names 1

  • NW Family Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

10365 SE Sunnyside Rd
Ste 210
Clackamas, OR 97015
Phone (503) 887-7725

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1043158173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 SE DEER FERN ST",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970869650",
            "telephone_number": "573-719-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10365 SE SUNNYSIDE RD STE 210",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155749",
            "telephone_number": "573-719-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVILA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "BASTARDO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-719-8770"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW Family Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.