Allen, Jerry Dale
Allen, Jerry Dale is an individual health care provider with primary practice located at 1535 N Williams Ave , Portland OR 97227-1885. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Allen, Jerry Dale can be contacted via phone (503) 238-2003.Contact Information
Primary practice address
1535 N Williams Ave
Portland OR 97227-1885
Phone: (503) 238-2003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | THW105547 | Oregon |
Profile Details
| NPI number | 1356076020 |
|---|---|
| LBN Legal business name | Allen, Jerry Dale |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2022 |
| Last updated | Jul 18th, 2022 - about 3 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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