Provider Demographics
NPI:1306038245
Name:ALLEN, DAVID J (PA-C)
Entity Type:Individual
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First Name:DAVID
Middle Name:J
Last Name:ALLEN
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:930 SW ABBEY ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-4820
Mailing Address - Country:US
Mailing Address - Phone:541-574-4860
Mailing Address - Fax:541-574-4965
Practice Address - Street 1:930 SW ABBEY ST
Practice Address - Street 2:SUITE F
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-4820
Practice Address - Country:US
Practice Address - Phone:541-574-4860
Practice Address - Fax:541-574-4965
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2013-03-05
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical