# MICHAEL R VAN ALLEN MD PC

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

## Provider details

- **NPI number:** 1790937662
- **Authorized official:** MICHAEL R. VAN ALLEN MD, PC. (PHYSICIAN)
- **Authorized official phone:** (503) 692-8907

## Contact information

- **Practice address:** 19255 SW 65TH AVE, SUITE 210, TUALATIN, OR 97062-7451
- **Practice address phone:** (503) 692-8907
- **Mailing address:** PO BOX 1729, TUALATIN, OR 97062-1729
- **Mailing address phone:** (503) 692-8907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | OR | — |

## Other

- **Enumeration date:** 10/22/2008
- **Last updated:** 08/20/2019