Provider Demographics
NPI:1194303297
Name:AKAN, ALISON
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:AKAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 NE 7TH AVE APT 402
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-3179
Mailing Address - Country:US
Mailing Address - Phone:971-420-3946
Mailing Address - Fax:
Practice Address - Street 1:2621 NE 7TH AVE APT 402
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3179
Practice Address - Country:US
Practice Address - Phone:971-420-3946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR179016994374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula