Individual
MR. ALLAN ROBERT PITRE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
20881 SW QUINTESSA CT, BEAVERTON, OR 97078-5480
(616) 304-1921
Mailing address
20881 SW QUINTESSA CT, BEAVERTON, OR 97078-5480
(616) 304-1921
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703083813
MI
Other
Enumeration date
11/18/2014
Last updated
10/04/2015
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