AVALON CLINIC - NPI 1265654958 - Clinic/Center in Lakewood, WA

Q: What is Avalon Clinic's NPI number?

The NPI number for Avalon Clinic is 1265654958. It was assigned to this organization in the NPPES registry on May 3, 2007.

Q: What is Avalon Clinic's specialty?

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

Q: 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.

On this page

About Avalon Clinic NPPES

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

AVALON CLINIC (NPI 1265654958) is a healthcare organization registered as a clinic/center in Lakewood, Washington and active in the NPI registry since May 2007. The organization lists Robert J. Kenevan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265654958

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 OfficialRobert J. KenevanMedical Director · (253) 582-8486

Enumeration DateMay 3, 2007

Last NPPES UpdateMarch 23, 2012

✔ NPI 1265654958 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 · MD00015225

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

Open in Google Maps ↗