Provider Demographics
NPI:1427423599
Name:PIERCE, ALLYSON (DC)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 NE 19TH AVE #B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-2754
Mailing Address - Country:US
Mailing Address - Phone:256-609-8575
Mailing Address - Fax:
Practice Address - Street 1:5440 NE 19TH AVE #B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-2754
Practice Address - Country:US
Practice Address - Phone:256-609-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5693111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor