Individual
STEPHENIE A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
(541) 523-7602
Mailing address
PO BOX 1005, BAKER CITY, OR 97814-1005
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/04/2020
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