Provider Demographics
NPI:1235843251
Name:CONACHEN, ALLISON E (LAC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:E
Last Name:CONACHEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2982 NE QUIET CANYON DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-3981
Mailing Address - Country:US
Mailing Address - Phone:608-320-4427
Mailing Address - Fax:
Practice Address - Street 1:392 E MAIN AVE STE 4B
Practice Address - Street 2:
Practice Address - City:SISTERS
Practice Address - State:OR
Practice Address - Zip Code:97759-9598
Practice Address - Country:US
Practice Address - Phone:608-320-4427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
ORAC211769171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist