Individual
ANGELICA ALIADO ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8111
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351047598
MI
207R00000X
Internal Medicine Physician
Primary
MD219813
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2021
Last updated
08/05/2024
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