Provider Demographics
NPI:1952982936
Name:THERESE ALLEN & CO.
Entity Type:Organization
Organization Name:THERESE ALLEN & CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-414-9979
Mailing Address - Street 1:22207 7TH AVE S STE A
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-6221
Mailing Address - Country:US
Mailing Address - Phone:206-414-9979
Mailing Address - Fax:
Practice Address - Street 1:22207 7TH AVE S STE A
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-6221
Practice Address - Country:US
Practice Address - Phone:206-414-9979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service