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Individual

DR. ALLISON IRENE SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3375 SW TERWILLIGER BLVD, PORTLAND, OR 97239
(503) 494-7830
(503) 494-5372
Mailing address
2241 LLOYD CTR, PORTLAND, OR 97232-1315
(503) 494-8417
(503) 418-5339

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2684AT
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159018
OR
Enumeration date
05/16/2006
Last updated
08/05/2010
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