Individual
DR. RICHARD O AVALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3915 TALBOT RD S STE 401, RENTON, WA 98055-5738
(425) 690-3445
(425) 690-9445
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000977
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014727
—
WA
01
—
G8891527
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
04/07/2006
Last updated
05/05/2021
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