- Practice location
- 1535 N Williams Ave, Portland, OR 97227-1885
- Phone
- 503-238-2003
- Fax
- —
- Last updated
- July 18, 2022
Jerry D Allen is a Peer Specialist based in Portland, OR. The NPI number for Jerry D Allen is 1356076020 and holds license No. THW105547 (OR). The current practice location address is 1535 N Williams Ave, Portland, OR 97227-1885 and the office can be reached by phone at 503-238-2003. The NPI was assigned on July 18, 2022 and the record was last updated in NPPES on July 18, 2022.
●Provider Profile Details
- NPI Number
- 1356076020
- Provider Name
- Jerry Dale Allen
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Enumeration Date
- July 18, 2022
- Last Update Date
- July 18, 2022
- Certification Date
- July 18, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1535 N Williams Ave
Portland, OR 97227-1885 - City
- Portland
- State
- Oregon
- ZIP
- 97227-1885
- Country
- US
- Phone Number
- 503-238-2003
✉Business Mailing Address
- Address
- 232 NW 6TH Ave
Portland, OR 97209-3609 - City
- Portland
- State
- OR
- ZIP
- 97209-3609
- Phone Number
- 503-294-1681
- Fax Number
- 503-294-4321
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | THW105547 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Jerry D Allen?
The NPI number of Jerry D Allen is 1356076020. It was assigned on July 18, 2022 and is currently active in the NPPES registry.
What is the specialty of Jerry D Allen?
Jerry D Allen is registered under the primary taxonomy Peer Specialist (code 175T00000X) and holds license No. THW105547 (OR).
Where does Jerry D Allen practice?
The practice location is 1535 N Williams Ave, Portland, OR 97227-1885. The office can be reached at 503-238-2003 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356076020 directly on the NPPES registry website at npiregistry.cms.hhs.gov.