Healthcare Provider Details

I. General information

NPI: 1306038245
Provider Name (Legal Business Name): DAVID J ALLEN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 NW 12TH AVE STE 107
BATTLE GROUND WA
98604-9141
US

IV. Provider business mailing address

101 NW 12TH AVE STE 107
BATTLE GROUND WA
98604-9141
US

V. Phone/Fax

Practice location:
  • Phone: 360-723-0528
  • Fax: 360-995-0081
Mailing address:
  • Phone: 360-723-0528
  • Fax: 360-995-0081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA60586989
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: