Individual
ALLEN FREDRICK CONNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1383 S WATER ST, SILVERTON, OR 97381-2436
(503) 588-5351
Mailing address
1383 S WATER ST, SILVERTON, OR 97381-2436
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
9700079
OR
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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