NPI 1720111859 · live from the CMS NPI Registry
Christopher Mark Allen, Ph.D.
Psychologist, Clinical in Portland, OR. National Provider Identifier 1720111859, active.
NPI record
| NPI | 1720111859 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2049 Nw Hoyt St, Portland, OR 97209 |
| Practice phone | 503-226-9990 |
| Enumerated | March 14, 2007 |
| Last updated | October 22, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1795 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.