Active NPI
Avila Care LLC
Doing business as NW Family Wellness
- Chiropractor
- Clackamas, OR
National Provider Identifier
1043158173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.