Jerry Dale Allen
Jerry Dale Allen is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
1535 N Williams AvePortland, OR 97227-1885
Phone: (503) 238-2003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW105547 (OR) |
|---|
Record details
| NPI number | 1356076020 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 18, 2022 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
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