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JERRY DALE ALLEN
NPI 1356076020
Peer Specialist in Portland, OR

Active since July 18, 2022
1535 N WILLIAMS AVE, PORTLAND, OR 97227(503) 238-2003 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Dale Allen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY DALE ALLEN (NPI 1356076020) is an individual peer specialist in Portland, Oregon, licensed in Oregon (THW105547) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1356076020
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJERRY DALE ALLEN
Location Address1535 N WILLIAMS AVEPortland, OR 97227-1885
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681 · Fax (503) 294-4321
Phone(503) 238-2003
Sole ProprietorNo
Enumeration DateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1356076020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW105547
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1535 N WILLIAMS AVE, Portland, OR 97227
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID PRITCHETT PA
Physician Assistant
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
HANAN DAHIR YUSUF
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2003
MS. SEBRINA EGGERT RN
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
BIJAN SAMAREH
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
ARIELLE BERNSTEIN RN
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
HALLIE ELIZABETH MARTIN
Registered Nurse (Psychiatric/Mental Health)
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067
CHRIS LYNN
Registered Nurse
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (971) 244-5311
ANDREW B MENDENHALL MD
Family Medicine (Addiction Medicine)
1535 N WILLIAMS AVE
PORTLAND, OR 97227
Multnomah County (503) 238-2067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Allen's NPI number?

The NPI number for Jerry Allen is 1356076020. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Jerry Allen located?

Jerry Allen practices at 1535 N Williams Ave, Portland, OR 97227. The listed phone number is (503) 238-2003.

What is Jerry Allen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jerry Allen was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.