Provider Demographics
NPI:1982824108
Name:O'BRIEN, ALLISON LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LYNN
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALLISON
Other - Middle Name:LYNN
Other - Last Name:LIVINGSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3355 RIVERBEND DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-8800
Mailing Address - Country:US
Mailing Address - Phone:541-868-9298
Mailing Address - Fax:541-868-9299
Practice Address - Street 1:3355 RIVERBEND DR
Practice Address - Street 2:SUITE 220
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-8800
Practice Address - Country:US
Practice Address - Phone:541-868-9298
Practice Address - Fax:541-868-9299
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP0376208000000X
NM2008-0017208000000X
ORMD1727652080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500698685Medicaid
WAH93776Medicare UPIN