Provider Demographics
NPI:1750846994
Name:ALLEN, JONA Y (CD; CNA)
Entity Type:Individual
Prefix:MS
First Name:JONA
Middle Name:Y
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CD; CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 N VANCOUVER WAY # 1120
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-7530
Mailing Address - Country:US
Mailing Address - Phone:503-793-0977
Mailing Address - Fax:503-961-1946
Practice Address - Street 1:3080 NE MARTIN LUTHER KING JR BLVD APT 222
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3189
Practice Address - Country:US
Practice Address - Phone:503-793-0977
Practice Address - Fax:503-961-1946
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula