IndividualActive
Phillip Allen, FNP
NPI 1386076990 · Family Nurse Practitioner · Glide, OR
Provider details
- NPI number
- 1386076990
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 200050016 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
182 Old Cabin Dr
182 Old Cabin Drive
Glide, OR 97443-9750
Phone: (541) 496-0013
Approximate (ZIP-level) locationGet directions
Mailing address
182 Old Cabin Dr
Glide, OR 97443-9750
Registry dates
- Enumerated
- 2013-08-06
- Last updated
- 2013-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.