Allison, Gina R

Allison, Gina R is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Suite 300, Tualatin OR 97062-7452. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Allison, Gina R can be contacted via phone (503) 692-1242.

Contact Information

Primary practice address
19250 Sw 65Th Ave Suite 300 Tualatin OR 97062-7452
Phone: (503) 692-1242
Fax: (503) 691-3615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD 25619 Oregon
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD25619 Oregon

Profile Details

NPI number 1710969340
LBN Legal business name Allison, Gina R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 7th, 2018 - about 7 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 1710969340 NPPES
Oregon MEDICAID 213564
Oregon Other R132456

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