Carrie Allen

Individual provider Active NPI General Practice Registered Nurse · Beaverton, OR

NPI 1992696249 · NPPES record last updated Jul 14, 2025

Key facts

NPI
1992696249
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
200943015RN (CA)
Practice address
11750 SW Hillcrest CT
Beaverton, OR 97008-6326
Phone
(408) 221-9180
NPI assigned
Jul 14, 2025
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
200943015RNCAMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 200943015RN CA Yes

Addresses

Primary practice location

11750 SW Hillcrest CT
Beaverton, OR 97008-6326

Mailing address

30 NE Martin Luther King
Portland, OR 97232-2941
Phone (408) 221-9180

Other providers in Beaverton, OR

All providers in Beaverton, OR · General Practice Registered Nurse in Oregon

Sources for this page

Verify at the official NPI Registry.