Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOBY LYNN ALLEN, D.O.
Active Sole ProprietorEmergency Medicine · REDMOND, OR
Registration Details
- NPI Number
- 1396068748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2010 (16.112366391165 yrs)
- Last Updated
- Apr 22, 2020
- License
-
20A11126 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1253 NW CANAL BLVDREDMOND, OR, 977561334Browse OR providers · Browse ZIP 97756
- Phone
- 5415488131
- Fax
- 5415266608
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in REDMOND, OR
| Name | Credential | NPI |
|---|---|---|
| ANGUS YATMAN NG | MD | 1053355198 |
| MATTHEW M ESCHELBACH | DO | 1114963782 |
| JOSHUA CAMPBELL HART COOK | DO | 1134155120 |
| LESTER JONATHAN DIXON | MD | 1609803865 |
| GLYNDA GAYE CRABTREE | MD | 1013944081 |
| ANDREW WADE ADAMSKI | MD | 1306874011 |
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.