Healthcare Provider Details

I. General information

NPI: 1841277241
Provider Name (Legal Business Name): DAWN S. ALLISON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 06/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 BEALL LN
CENTRAL POINT OR
97502-1573
US

IV. Provider business mailing address

1510 SW NANCY WAY
BEND OR
97702-3215
US

V. Phone/Fax

Practice location:
  • Phone: 541-664-5151
  • Fax: 541-664-5155
Mailing address:
  • Phone: 541-322-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD27692
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: