Individual
ROBERT WAYNE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,CCSP,CKTI
Contact information
Practice address
811 NE 112TH AVE STE 101, VANCOUVER, WA 98684-4944
(360) 892-2226
(360) 892-1204
Mailing address
811 NE 112TH AVE STE 101, VANCOUVER, WA 98684-4944
(360) 892-2226
(360) 892-1204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001732
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356392765
NPI INDIVIDUAL
—
01
—
350007584
MEDICARE RAILROAD
—
01
—
AB10115
MEDICARE GROUP
—
01
—
AB10327
MEDICARE INDIVIDUAL
—
01
—
T02545
UPIN
—
Enumeration date
08/23/2007
Last updated
05/29/2008
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