# DANI ALLEN LMT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790449551
- **Authorized official:** DANIELLE ALLEN LMT (LMT)
- **Authorized official phone:** (914) 329-4477

## Contact information

- **Practice address:** 2100 NE BROADWAY ST STE 225, PORTLAND, OR 97232-1544
- **Practice address phone:** (503) 609-0002
- **Mailing address:** 2100 NE BROADWAY ST STE 225, PORTLAND, OR 97232-1544
- **Mailing address phone:** (503) 609-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2021
- **Last updated:** 10/27/2021