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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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