Organization
PAUL J ALLEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J ALLEN MD (PHYSICIAN OWNER)
(360) 352-8800
Entity
Organization
Contact information
Practice address
2938 LIMITED LN NW, STE B, OLYMPIA, WA 98502
(360) 352-8800
Mailing address
PO BOX 12840, OLYMPIA, WA 98508-2840
(360) 352-8800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00027976
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0180143
DEPT OF LABOR & INDUSTRY
WA
05
—
1062819
—
WA
01
—
65493
DEPT OF LABOR & INDUSTRY
WA
Enumeration date
05/19/2006
Last updated
09/07/2012
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