Individual
PAUL J ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00027976
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0301281
L&I
WA
05
—
1093065575
—
WA
01
—
316916
L&I POST 7/21/13
WA
01
—
P01126924
RR MEDICARE
WA
Enumeration date
09/12/2012
Last updated
01/03/2014
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