Individual
DR. GARY WAYNE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
441 SW UMATILLA AVE STE 200, REDMOND, OR 97756-7039
(541) 504-3938
(541) 504-3907
Mailing address
442 SW UMATILLA AVE, REDMOND, OR 97756-7039
(541) 504-3938
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401008461
VA
122300000X
Dentist
DE00008439
WA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4806
OR
Other
Enumeration date
08/19/2006
Last updated
07/21/2022
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