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Individual

BRIAN C ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSS/CRM

Contact information

Practice address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 867-9177
Mailing address
3231 SE 50TH AVE, PORTLAND, OR 97206-2248
(503) 867-9177

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OR

Other

Enumeration date
02/12/2025
Last updated
02/12/2025
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