Stephen Allred III, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

081047114N3 ANP-PP Issued in OR

Practice address

135 SE 102ND Ave
Portland, OR 97216-2703

Phone

(503) 258-9800

Fax

(503) 258-8311

NPI assigned

Feb 22, 2007

Last updated

Jan 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Health Care LLC

  dba Get A Flu Shot.com

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1477798379
  Authorized official Same address or phone
• Professional Health Care LLC

  dba Get A Flu Shot.com

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1760628838
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1558496158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SE 102ND AVE",
            "address_2": "GETAFLUSHOTCOM",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162703",
            "telephone_number": "503-258-9800",
            "fax_number": "503-258-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162703",
            "telephone_number": "503-258-9800",
            "fax_number": "503-258-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "STEPHEN",
        "name_suffix": "III",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "081047114N3 ANP-PP",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30003743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Elizabeth Allison, DAOM
• Laura A Allmacher, LAC
• Deanna Judith Allmaras, BA IN SOCIOLOGY
• Allminds Medical Group Northwest PC
• Melissa Allred
• Sylvia Allred, LMT, LMP
• Kelsey Allrich
• Martin Allums, DO
• Allyson Abraham Lac LLC
• Meagen M Alm, LMT

• Adult Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.