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AVALON CLINIC
NPI 1164635454
Clinic/Center in Lakewood, WA

Active since May 07, 2007
6103 MOUNT TACOMA DR SW, LAKEWOOD, WA 98499(253) 582-8486(253) 582-2644 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avalon Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALON CLINIC (NPI 1164635454) is a healthcare organization registered as a clinic/center in Lakewood, Washington and active in the NPI registry since May 2007. The organization lists Mark E Zilmer, Plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1164635454
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAVALON CLINIC
Location Address6103 MOUNT TACOMA DR SWLakewood, WA 98499-2727
Mailing Address6103 Mount Tacoma Dr SwLakewood, WA 98499-2727 · (253) 582-8486 · Fax (253) 582-2644
Phone(253) 582-8486
Fax(253) 582-2644
Organization SubpartNo
Authorized OfficialMark E ZilmerPlastic Surgeon · (253) 582-8486
Enumeration DateMay 7, 2007
Last NPPES UpdateMarch 23, 2012
✔ NPI 1164635454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · MD00014593
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6103 MOUNT TACOMA DR SW, Lakewood, WA 98499
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYRIAM MAMPENGU
Case Manager/Care Coordinator
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
Pierce County (253) 263-3221
KATHRYN KIRKENDALL
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
Pierce County (253) 833-7444
DR. DAVID EKLAND M.D.
Specialist
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
Pierce County (253) 582-8486
MASON CULBERTSON
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
Pierce County (253) 833-7444
AVALON CLINIC
Clinic/Center
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
Pierce County (253) 582-8486
AVALON CLINIC
Clinic/Center
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
Pierce County (253) 582-8486
JESSICA BURGANS
Counselor
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
Pierce County (253) 833-7444
AMANDA NICHOLSON
Counselor (Mental Health)
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
Pierce County (253) 833-7444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon Clinic's NPI number?

The NPI number for Avalon Clinic is 1164635454. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Avalon Clinic located?

Avalon Clinic is located at 6103 Mount Tacoma Dr SW, Lakewood, WA 98499. The listed phone number is (253) 582-8486.

What is Avalon Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Avalon Clinic was last updated on March 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.