Provider Demographics
NPI:1215058235
Name:ALLEN, CHRISTOPHER PRUCHNIC (DC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:PRUCHNIC
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 FRONT STREET
Mailing Address - Street 2:PO BOX 485
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381
Mailing Address - Country:US
Mailing Address - Phone:503-874-9355
Mailing Address - Fax:503-874-9052
Practice Address - Street 1:510 FRONT ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1427
Practice Address - Country:US
Practice Address - Phone:503-874-9355
Practice Address - Fax:503-874-9052
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2454111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor