Avalon Clinic

LBN: Avalon Clinic
Avalon Clinic is an health care organization with primary practice located at 6103 Mount Tacoma Dr Sw , Lakewood WA 98499-2727. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Avalon Clinic can be contacted via phone (253) 582-8486, or through Kenevan, Robert J. via phone (253) 582-8486.

Contact Information

Primary practice address
6103 Mount Tacoma Dr Sw Lakewood WA 98499-2727
Phone: (253) 582-8486
Fax: (253) 582-2644
Website:
Map and Directions
Authorized official contact:
Name: Kenevan, Robert J. Doctor of Medicine (MD)
Phone: (253) 582-8486

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X MD00015225 Washington

Profile Details

NPI number 1265654958
LBN Legal business name Avalon Clinic
DBA Doing business as
Authorized official Kenevan, Robert J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Mar 23rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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