NPI 1043158173 · live from the CMS NPI Registry
Avila Care LLC
Chiropractor in Clackamas, OR. National Provider Identifier 1043158173, active.
NPI record
| NPI | 1043158173 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 10365 Se Sunnyside Rd Ste 210, Clackamas, OR 97015 |
| Practice phone | 573-719-8770 |
| Mailing address | 10753 Se Deer Fern St, Happy Valley, OR 97086 |
| Enumerated | March 23, 2026 |
| Last updated | April 8, 2026 |
| Authorized official | Manuel Bastardo, Owner |
| Other names | Nw Family Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acupuncturist | 171100000X | — |
| Massage Therapist | 225700000X | — |
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.