OrganizationActive
Avalon Clinic
NPI 1265654958 · Clinic/Center · Lakewood, WA
Avalon Clinic is a Clinic/Center organization in Lakewood, WA (NPI 1265654958).
Provider details
- NPI number
- 1265654958
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Kenevan, Medical Director(253) 582-8486
- License
- MD00015225 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6103 Mount Tacoma Dr Sw
Lakewood, WA 98499-2727
Phone: (253) 582-8486
Fax: (253) 582-2644
Street-level locationGet directions
Mailing address
6103 Mount Tacoma Dr Sw
Lakewood, WA 98499-2727
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2012-03-23
Frequently asked questions
- What is Avalon Clinic's NPI number?
- Avalon Clinic's National Provider Identifier (NPI) is 1265654958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avalon Clinic?
- Avalon Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Avalon Clinic located?
- Avalon Clinic's practice location on file with NPPES is 6103 Mount Tacoma Dr Sw, Lakewood, WA 98499-2727.
- What is Avalon Clinic's phone number?
- The practice phone number listed in the NPPES registry for Avalon Clinic is (253) 582-8486.
- Who is the authorized official for Avalon Clinic?
- The authorized official listed on Avalon Clinic's NPPES record is Robert Kenevan, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avalon Clinic's NPI active?
- Yes — Avalon Clinic's NPI (1265654958) is active in the NPPES registry as of the last update on 2012-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.