| Dani Allen Lmt Llc | |
|
2100 Ne Broadway St Ste 225 Portland OR 97232-1544 | |
| (503) 609-0002 | |
| Not Available |
| Full Name | Dani Allen Lmt Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2100 Ne Broadway St Ste 225, Portland, Oregon |
| Authorized Official Name and Position | Danielle Allen (LMT) |
| Authorized Official Contact | 9143294477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dani Allen Lmt Llc 2100 Ne Broadway St Ste 225 Portland OR 97232-1544 Ph: (503) 609-0002 | Dani Allen Lmt Llc 2100 Ne Broadway St Ste 225 Portland OR 97232-1544 Ph: (503) 609-0002 |
| NPI Number | 1790449551 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790449551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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