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Individual
RICHARD DEREK ALLEN
Active
Individual
RICHARD DEREK ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004806
WA
363AS0400X
Surgical Physician Assistant
PA10004806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508856410
—
WA
01
—
289199
WVH LNI
WA
01
—
P01381482
RR MEDICARE WVH
WA
Enumeration date
10/24/2005
Last updated
04/14/2026
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