Individual
ALLISON MAE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 479-6393
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11333
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500784645
—
OR
Enumeration date
09/18/2020
Last updated
05/12/2026
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