Individual
JOHN VERNON AHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
(541) 747-0655
Mailing address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
(541) 747-0655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10294
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233221
—
OR
Enumeration date
03/07/2006
Last updated
02/22/2012
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