Individual
MARJORIE GRACE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 SE INTERNATIONAL WAY STE 501, PORTLAND, OR 97222-8855
(503) 496-3201
Mailing address
3276 NW CREST LOOP, ALBANY, OR 97321-9628
(541) 979-9842
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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