AVALON CLINIC NPI 1255544540

NPI Information

  • NPI: 1255544540
  • Provider Name: AVALON CLINIC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 6103 MOUNT TACOMA DR SW
    LAKEWOOD, WA
    ZIP 98499
  • Phone: (253) 582-8486

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NPI Details

AVALON CLINIC is a clinic center in Lakewood, WA. The provider is 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). AVALON CLINIC NPI is 1255544540. The provider is registered as an organization entity type.

The provider's business location address is:

6103 MOUNT TACOMA DR SW
LAKEWOOD, WA
ZIP 98499-727
Phone: (253) 582-8486
Fax: (253) 582-2644

The provider's authorized official is David A Ekland .
The authorized official title is Plastic Surgeon and has the following contact phone number (253) 582-8486.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 3/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterMD00011944WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A04434MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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