Individual
DR. JELANI HANSA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
434 NW 6TH AVE, SUITE 303, PORTLAND, OR 97209-3600
(503) 381-5009
Mailing address
434 NW 6TH AVE, SUITE 303, PORTLAND, OR 97209-3600
(503) 381-5009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4109
OR
Other
Enumeration date
05/11/2012
Last updated
05/31/2013
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