AVALON CLINIC (NPI# 1255544540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255544540 |
| Entity Type | Organization |
| Organization Name | AVALON CLINIC |
| Practice Address |
6103 Mount Tacoma Dr Sw Lakewood WA 98499-2727 |
| Practice Telephone | 2535828486 |
| Practice Fax Number | 2535822644 |
| Mailing Telephone | 2535828486 |
| Mailing Fax Number | 2535822644 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-03-23 |
| Authorized Official Name | DR. DAVID A EKLAND (PLASTIC SURGEON) |
| Authorized Official Telephone | 2535828486 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MD00011944 | WA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265654958 | Avalon Clinic | Clinic/Center | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2007-05-03 |
| 1164635454 | Avalon Clinic | Clinic/Center | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2007-05-07 |
| 1073726360 | Avalon Clinic | Clinic/Center | 9315 Gravelly Lake Dr Sw, Suite 103, Lakewood, WA 98499-1574 | 2007-05-07 |
| Street Address |
6103 MOUNT TACOMA DR SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265654958 | Avalon Clinic | Clinic/Center | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2007-05-03 |
| 1699381012 | Ereke D Bruce | Social Worker | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2020-09-21 |
| 1710590831 | Olivia Noelle Domingo | Social Worker | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2020-08-28 |
| 1881218139 | Daisy Veronica Ortiz | Social Worker | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2020-06-02 |
| 1104380120 | Myriam Mampengu | Case Manager/Care Coordinator | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2019-01-23 |
| 1295209302 | Amanda Nicholson | Counselor | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2019-01-11 |
| 1104323443 | Jacqueline May | Counselor | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2018-04-12 |
| 1154672137 | David Ekland | Specialist | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2012-10-01 |
| 1164635454 | Avalon Clinic | Clinic/Center | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
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| 1528566205 | Choice Counseling & Recovery LLC | Clinic/Center | 7585 W Arkansas Ave Ste 207, Lakewood, CO 80232-5425 | 2018-01-26 |
| 1174988802 | My Care Urgent Care LLC | Clinic/Center | 108 Hillside Blvd, Lakewood, NJ 08701-3148 | 2015-12-23 |
| 1992187553 | Colorado Optimal Health | Clinic/Center | 200 Union Blvd Ste 430, Lakewood, CO 80228-1832 | 2015-06-19 |
| 1295997153 | Ace Counseling LLC | Clinic/Center | 959 S Saulsbury St, Lakewood, CO 80226-4513 | 2008-07-01 |
| 1265654958 | Avalon Clinic | Clinic/Center | 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727 | 2007-05-03 |
| 1952526675 | South Cerritos Medical Group, Inc. | Clinic/Center | 20927 Norwalk Blvd, Lakewood, CA 90715-1545 | 2007-04-16 |
| 1568002137 | Cleveland Performance Chiropractic, LLC | Clinic/Center | 15713 Detroit Ave, Lakewood, OH 44107-3709 | 2020-01-13 |
| 1699271221 | Sound Body Chiropractic and Wellness LLC | Clinic/Center | 12792 W Alameda Pkwy Ste E, Lakewood, CO 80228-2846 | 2018-04-03 |
| 1699276980 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Clinic/Center | 355 Union Blvd, 100, Lakewood, CO 80228-1500 | 2018-02-22 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.