Individual
DENNIS JAMES ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6176
Mailing address
624 NW VIEW RIDGE LN, CAMAS, WA 98607-9378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1016
OR
103TC0700X
Clinical Psychologist
PY00001457
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005928
—
OR
Enumeration date
10/09/2006
Last updated
07/08/2007
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