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Individual

ALLYSON PAIGE SWANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
147 S 52ND PL, SPRINGFIELD, OR 97478-6210
(541) 746-1166
(541) 393-1607
Mailing address
PO BOX 670, BEND, OR 97709-0670
(541) 746-1166
(541) 393-1607

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1057
AK
363A00000X
Physician Assistant
Primary
PA173992
OR

Other

Enumeration date
09/14/2012
Last updated
04/09/2020
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