Healthcare Provider Details

I. General information

NPI: 1750846994
Provider Name (Legal Business Name): JONA ALLEN HWC, PF, RMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 SE POWELL BLVD STE 102
PORTLAND OR
97206-2951
US

IV. Provider business mailing address

5311 SE POWELL BLVD STE 102
PORTLAND OR
97206-2951
US

V. Phone/Fax

Practice location:
  • Phone: 503-793-0977
  • Fax: 503-961-1946
Mailing address:
  • Phone: 503-793-0977
  • Fax: 503-961-1946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: