Individual
BRYON EDWARD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE UHN73C, PORTLAND, OR 97239-3011
(503) 494-1551
(503) 494-1552
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE UHN73C, PORTLAND, OR 97239-3011
(503) 494-1551
(503) 494-1552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314
—
OR
Enumeration date
08/03/2006
Last updated
07/08/2007
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