Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 1005244 | OR |
NPI | 1235395252 |
---|---|
Provider Name | Mrs. Jennifer Renee Allen |
First Address | Tualatin, OR 97062-7609 |
Second Address | Tualatin, OR 97062-7609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 18/12/2021 |