Provider Demographics
NPI:1881877165
Name:GIVENS, ALLISON EMIKO (ND)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:EMIKO
Last Name:GIVENS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 SE CLINTON ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-1273
Mailing Address - Country:US
Mailing Address - Phone:971-227-3899
Mailing Address - Fax:
Practice Address - Street 1:2610 SE CLINTON ST
Practice Address - Street 2:SUITE E
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-1273
Practice Address - Country:US
Practice Address - Phone:971-227-3899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1576175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath