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institution
Avalon Clinic
Clinic/Center in Lakewood, Washington
NPI 1073726360

Avalon Clinic is a Clinic/Center based in Lakewood, WA. Avalon Clinic practices in Lakewood, WA. The NPI Number for Avalon Clinic is 1073726360 and holds a License No. MD00046009 (Washington).

The current practice location address for Avalon Clinic is 9315 Gravelly Lake Dr Sw, Lakewood, WA and can be reached out via phone at 253-582-8486 and via fax at 253-582-2644.

Location: 9315 Gravelly Lake Dr Sw, Lakewood, WA, 98499-1574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073726360
Provider Name
Avalon Clinic
Credential
Provider Entity Type
Organization
Address
9315 Gravelly Lake Dr Sw, Lakewood, WA, 98499-1574
Phone Number
253-582-8486
Fax Number
253-582-2644
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9315 Gravelly Lake Dr Sw
City
Lakewood
State
Washington
Zip
98499-1574
Phone Number
253-582-8486
Fax Number
253-582-2644
person
Provider Business Mailing Address Details
Address
9315 Gravelly Lake Dr Sw
City
Lakewood
State
Washington
Zip
98499-1574
Phone Number
253-582-8486
Fax Number
253-582-2644
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MD00046009 (Washington)
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).
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