AVALON CLINIC
NPI 1255544540
Clinic/Center in Lakewood, WA

NPI Status: Active since May 07, 2007

Contact Information

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

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  • Organization
  • Clinic/Center

About AVALON CLINIC

This page provides the complete NPI Profile along with additional information for Avalon Clinic, a provider established in Lakewood, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1255544540 assigned on May 2007. The practitioner's primary taxonomy code is 261Q00000X with license number MD00011944 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. David A Ekland M.d. (Plastic Surgeon)

NPI
1255544540
Provider Name
AVALON CLINIC
Entity Type
Organization
Location Address
6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499
Location Phone
(253) 582-8486
Location Fax
(253) 582-2644
Mailing Address
6103 MOUNT TACOMA DR SW LAKEWOOD, WA 98499
Mailing Phone
(253) 582-8486
Mailing Fax
(253) 582-2644
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2007
Last Update Date
03-23-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
MD00011944
License State
WA
Taxonomy Description
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID A EKLAND M.D.

Authorized Official Title
PLASTIC SURGEON
Authorized Official Phone
(253) 582-8486

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A04434MEDICARE UPIN (02)WA 

Reviews for AVALON CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255544540
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105104858
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 4 + 8 + 5 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255544540 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265654958AVALON CLINIC
Organization
Clinic/Center6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 582-8486
1164635454AVALON CLINIC
Organization
Clinic/Center6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 582-8486
1154672137DR. DAVID EKLAND M.D.
Individual
Specialist6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 582-8486
1295209302 AMANDA NICHOLSON
Individual
Counselor (Mental Health)6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1104380120 MYRIAM MAMPENGU
Individual
Case Manager/Care Coordinator6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 263-3221
1710590831 OLIVIA NOELLE DOMINGO LSWAIC
Individual
Social Worker (Clinical)6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 215-7070
1700379427 MOISES LOZACRUZ MSW
Individual
Social Worker (Clinical)6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 215-7070
1770156333 ERVA HOPSON
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1790452142 RACHEL WERTS
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1275202491 JESSICA BURGANS
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1295464030 KELLEN SMALLEY
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1811616147 TAMMY SMITH-BROWN
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1881313112 MICHAEL VERDONK
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1528770054 JENNIFER BRINK
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1902596679 EVA NORTHCUTT
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1174201586 MASON CULBERTSON
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1386426088 ANITA LIANG
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1841062767 KATHY HASKINS
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1548037237 MARIZA MENDIOLA-PORTER
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444
1831968296 JAMARLON LATHAM
Individual
Counselor6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499
(253) 833-7444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255544540, enumerated in the NPI registry as an "organization" on May 07, 2007

The provider is located at 6103 Mount Tacoma Dr Sw Lakewood, Wa 98499 and the phone number is (253) 582-8486

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.