Eric Allen
Individual provider Active NPI Counselor · Klamath Falls, OR
NPI 1922457787 · NPPES record last updated Jun 11, 2016
Key facts
- NPI
- 1922457787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2210 N Eldorado Ave
Klamath Falls, OR 97601-6418 - Phone
- (541) 883-1030
- Fax
- (541) 884-2338
- NPI assigned
- Jun 11, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2210 N Eldorado Ave
Klamath Falls, OR 97601-6418
Mailing address
1421 Esplanade Ave Apt 3
Klamath Falls, OR 97601-5956
Phone (541) 892-6230
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.