MEDICARE: AVALON CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	17101900	WA

General Provider Information

NPI Number	:	1548462104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVALON CENTER INC

Provider Business Mailing Address
First Line	:	6959 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1953
Country	:	US
Telephone Number	:	206-935-6228
Fax Number	:

Provider Business Practice Location Address
First Line	:	6959 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1953
Country	:	US
Telephone Number	:	206-935-6228
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENTOWNER
Name	:	MS. DIANE GRACE HUTCHESON
Credential	:	ARNP
Telephone Number	:	206-841-2126

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	08/22/2020

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Directions to “AVALON CENTER INC ” Practice Location

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