Avalon, Richard O
Avalon, Richard O is an individual health care provider with primary practice located at 3915 Talbot Rd S Ste 401 , Renton WA 98055-5738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Avalon, Richard O can be contacted via phone (425) 690-3445.Contact Information
Primary practice address
3915 Talbot Rd S Ste 401
Renton WA 98055-5738
Phone: (425) 690-3445
Fax: (425) 690-9445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP00000977 | Washington |
Profile Details
| NPI number | 1619930088 |
|---|---|
| LBN Legal business name | Avalon, Richard O |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | May 5th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619930088 | NPPES |
| Washington | MEDICAID | 1014727 | |
| Washington | Other | G8891527 |
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