Individual
GREGORY LEE ALLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
426 SW STARK ST, 8TH FLOOR, PORTLAND, OR 97204-2347
(503) 988-3674
(503) 988-5180
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-3674
(503) 988-4098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO14720
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060926
—
OR
Enumeration date
02/09/2007
Last updated
04/11/2019
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