Healthcare Provider Details

I. General information

NPI: 1134183999
Provider Name (Legal Business Name): LYNNE M ALLEN MN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNNE M STEIGER MN, ARNP

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 10/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E 19TH ST
THE DALLES OR
97058-3389
US

IV. Provider business mailing address

1700 E 19TH ST
THE DALLES OR
97058-3317
US

V. Phone/Fax

Practice location:
  • Phone: 541-296-7585
  • Fax: 541-296-7610
Mailing address:
  • Phone: 541-296-7760
  • Fax: 541-296-7619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30006081
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201406805NP-PP
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN00114242
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: