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Active NPI 1669849212 Organization (Entity Type 2)

Ava Center Inc.

Substance Abuse Rehabilitation Facility • Gresham, OR

Public Directory Information & Medical Disclaimer

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About Ava Center Inc. NPI 1669849212 Summary

Ava Center Inc. is a verified healthcare organization specializing in Substance Abuse Rehabilitation Facility operating in Gresham, OR. Located at 75 NW AVA AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1669849212.

Administrative operations and authorized compliance are overseen by Edgar Heissler (President).

Facility Location & Contact Primary Location

Facility Address

75 Nw Ava Ave

Gresham, OR 970307019

Telephone 5036805285

Authorized Official Information

Authorized Contact Name

Edgar Heissler

Title / Role

President

Official Telephone

5036805285

Facility Classifications & Specialties

Substance Abuse Rehabilitation Facility Primary Taxonomy

NUCC Taxonomy Code: 324500000X

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2015

Registered at 75 NW AVA AVE, GRESHAM, OR 970307019 (Tel: 5036805285)

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Updated Business Mailing Address August 31, 2015

Registered at 75 NW AVA AVE, GRESHAM, OR 970307019

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Organization / Clinic Name Updated August 31, 2015

Operating as AVA CENTER INC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2015

Substance Abuse Rehabilitation Facility

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Initial NPI Registration & Enumeration August 31, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1669849212
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 31, 2015
Last Update: August 31, 2015

Mailing Address

75 Nw Ava Ave

Gresham, OR 970307019

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.