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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY DALE ALLEN

Active

JERRY DALE ALLEN is a Peer Specialist healthcare provider located in PORTLAND, Oregon. NPI 1356076020 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · PORTLAND, OR

Registration Details

NPI Number
1356076020
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2022 (4.0634270577867 yrs)
Last Updated
Jul 18, 2022
License
THW105547 (OR)

Practice Information

Address
1535 N WILLIAMS AVE
PORTLAND, OR, 972271885
Browse OR providers · Browse ZIP 97227
Phone
5032382003
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in PORTLAND, OR

Name Credential NPI
GARY D WARNOCK CADC I 1740484286
KERI MCNICHOLAS 1235322686
MRS. DEBRA LYNN RUSSELL 1760658462
JIM V WHIPPLE 1598095713
SHERYL COOKSLEY 1407145626
KRATER H BUELL PSS 1538426978
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.