Remote Allergy Providers P.c.

NPI #1245599174 in Umatilla, Oregon

Provider Information

NPI Number: 1245599174
Entity Type: Organization
Organization Name: Remote Allergy Providers P.c.
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: May 12, 2012
Last Updated: May 12, 2012

Practice Location

Address: 1890 7TH ST
City: Umatilla
State: Oregon
ZIP Code: 97882-9826
Phone: (541) 632-4050

Authorized Official

Name: MR. MARK ALLEN PRUITT, FNP
Title: PRESIDENT
Phone: (541) 632-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X	Primary

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