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Contact Information

GREGORY W ALLEN, M.D., PHD
4525 3RD AVE SE
SUITE 100
LACEY, WA98503-1010
 Phone: 360-412-8960
 Fax: 360-412-8970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for GREGORY W ALLEN · (Male)

NPI Number 1508817404
Status Active
Credentials M.D., PHD
Entity Individual
Enumeration date 05/15/2006
Last updated 03/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00047784
  • WA Medicaid 8503872
  • Other 1508817404 NPI
Hospital affiliation(s)
  • PROVIDENCE CENTRALIA HOSPITAL - (Acute Care)
    914 S SCHEUBER ROAD
    CENTRALIA, WA 98531
  • PROVIDENCE ST PETER HOSPITAL - (Acute Care)
    413 LILLY ROAD NE
    OLYMPIA, WA 98506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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