Provider Demographics
NPI:1871988444
Name:ALLAIN, MICHAEL DEAN (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DEAN
Last Name:ALLAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 NW FRONT AVE
Mailing Address - Street 2:APT 204
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-1862
Mailing Address - Country:US
Mailing Address - Phone:425-894-8561
Mailing Address - Fax:
Practice Address - Street 1:2130 NW FRONT AVE
Practice Address - Street 2:APT 204
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-1862
Practice Address - Country:US
Practice Address - Phone:425-894-8561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program