Individual
ERIC B ALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1435 G ST, SPRINGFIELD, OR 97477-4113
(541) 735-9420
(541) 747-9870
Mailing address
PO BOX 163, SPRINGFIELD, OR 97477-0024
(541) 735-9420
(541) 747-9870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA201807
OR
363A00000X
Physician Assistant
Primary
PA201807
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500791198
—
OR
Enumeration date
03/11/2021
Last updated
05/26/2022
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