Provider Demographics
NPI:1780877670
Name:COLMAN-PINNING, ALLISON BARBARA
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:BARBARA
Last Name:COLMAN-PINNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 N BAYVIEW RD
Mailing Address - Street 2:
Mailing Address - City:WALDPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97394-9608
Mailing Address - Country:US
Mailing Address - Phone:541-270-5202
Mailing Address - Fax:
Practice Address - Street 1:3315 N BAYVIEW RD
Practice Address - Street 2:
Practice Address - City:WALDPORT
Practice Address - State:OR
Practice Address - Zip Code:97394-9608
Practice Address - Country:US
Practice Address - Phone:541-270-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8534174400000X
OR507897174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist