Allen, Bryon Edward

Allen, Bryon Edward is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mailcode Uhn73C, Portland OR 97239-3011. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Allen, Bryon Edward can be contacted via phone (503) 494-1551.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Mailcode Uhn73C Portland OR 97239-3011
Phone: (503) 494-1551
Fax: (503) 494-1552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Oregon

Profile Details

NPI number 1518975093
LBN Legal business name Allen, Bryon Edward
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518975093 NPPES
Oregon MEDICAID 100314

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