Individual
STEPHEN ALLRED III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
135 SE 102ND AVE, PORTLAND, OR 97216-2703
(503) 258-9800
(503) 258-8311
Mailing address
135 SE 102ND AVE, GETAFLUSHOTCOM, PORTLAND, OR 97216-2703
(503) 258-9800
(503) 258-8311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
081047114N3 ANP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
AP30003743
WA
Other
Enumeration date
02/22/2007
Last updated
01/14/2008
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