Individual
SALLY LOVELLE AVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
7602 6TH AVE NE, SEATTLE, WA 98115-4130
(206) 527-8773
(206) 517-4224
Mailing address
7602 6TH AVE NE, SEATTLE, WA 98115-4130
(206) 527-8773
(206) 517-4224
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN00052841
WA
176B00000X
Midwife
AP30000503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9601592
—
WA
Enumeration date
12/28/2006
Last updated
09/11/2025
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