Individual
DR. SCOTT MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 DAGGETT AVE, KLAMATH FALLS, OR 97601-7101
(541) 205-3974
(541) 205-5652
Mailing address
PO BOX 7326, KLAMATH FALLS, OR 97602-0326
(541) 205-3974
(541) 205-5652
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD158258
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500649167
—
OR
Enumeration date
08/26/2008
Last updated
06/23/2014
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