Avalon Wellness Living LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

AVALON WELLNESS LIVING LLC

Practice address

19495 SW Blanton St
Beaverton, OR 97078-1220

Phone

(971) 371-4474

NPI assigned

Jun 8, 2026

Last updated

Jun 8, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

AVALON WELLNESS LIVING LLCAs reported in NPPES

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

Authorized official

Name

Rahel Masresha

Title

Administrative Director

Phone

(503) 740-4522

Specialties & licenses 4

Addresses

Tax ID family

Avalon Wellness Living LLC2 organizations share this tax ID, including this one

Part of

Avalon Wellness Living LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avalon Wellness Living LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Tigard, OR
  • NPI 1174321657
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Avalon Wellness Living LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Tigard, OR
  • NPI 1174321657
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erika Youngquist Bales, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
  • NPI 1225718588
  NPD

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1245163179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 SW WATKINS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972233870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19495 SW BLANTON ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970781220",
            "telephone_number": "971-371-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON WELLNESS LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVALON WELLNESS LIVING LLC",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "MASRESHA",
        "authorized_official_first_name": "RAHEL",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "503-740-4522"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Aurisy, PMHNP
• Judith Lynne Auslander, CLINICAL HYPNOTHERAP
• Abigail Lynn Austin, MA
• Wenche Austrheim-Ruzich, OT
• Authentic Massage Therapy LLC
• Raul Garcia Avalos, LMT
• Haylee Avants
• Anna Katherine Avery, LMFT
• Magdalena Avila Echenique
• Axon Diagnostics

• Mental Illness Community Based Residential Treatment Facility in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.