Organization
MICHAEL R VAN ALLEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. VAN ALLEN MD, PC. (PHYSICIAN)
(503) 692-8907
Entity
Organization
Contact information
Practice address
19255 SW 65TH AVE, SUITE 210, TUALATIN, OR 97062-7451
(503) 692-8907
Mailing address
PO BOX 1729, TUALATIN, OR 97062-1729
(503) 692-8907
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
OR
Other
Enumeration date
10/22/2008
Last updated
08/20/2019
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