Individual
ANDREA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3512 LONE PINE RD, MEDFORD, OR 97504-5637
(541) 200-2409
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 200-2405
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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