Avalon Health Care - French Prairie LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AVALON HEALTH CARE - FRENCH PRAIRIE LLC

Doing business as

French Prairie Nursing & Rehabilitation

Practice address

601 Evergreen Rd
Woodburn, OR 97071-2910

Phone

(503) 982-0111

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Charles Kirton

Title

Ceo/Chairman

Phone

(801) 596-8844

Specialties & licenses 1

Addresses

Other names 1

• French Prairie Nursing & Rehabilitation Doing business as

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1255781159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-596-8844",
            "fax_number": "801-596-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EVERGREEN RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712910",
            "telephone_number": "503-982-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HEALTH CARE - FRENCH PRAIRIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "KIRTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO/CHAIRMAN",
        "authorized_official_telephone_number": "801-596-8844"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "French Prairie Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "French Prairie Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soroush Tom Amini, DMD
• Stacy M Anderson, PMHNP
• Taryn G Anderson, OT
• Sonia M Arellano
• Kayla Atay
• Melinda Avila, CSWA
• Emilee June Aweri-Bright
• Criselda Ayala
• B & J Custom DME, LLC.
• Tammy J Baggetta, CSWA

• Skilled Nursing Facility in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.