Individual
LYNNE M ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN, ARNP
Contact information
Practice address
1800 E 19TH ST, THE DALLES, OR 97058-3389
(541) 296-7585
(541) 296-7610
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7760
(541) 296-7619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201406805NP-PP
OR
363L00000X
Nurse Practitioner
AP30006081
WA
363L00000X
Nurse Practitioner
RN00114242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5006433999
—
OR
05
—
9633975
—
WA
Enumeration date
04/17/2006
Last updated
10/29/2014
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