- Practice location
- 511 SW 10TH Ave, Suite 1301, Portland, OR 97205-2732
- Phone
- 503-228-0155
- Fax
- 503-226-8342
- Last updated
- August 22, 2020
Allergy Clinic LLC is a healthcare organization based in Portland, OR. Allergy Clinic LLC practices in Portland, OR. The NPI Number for Allergy Clinic LLC is 1679790604 and holds a License No. 13450 (OR). The current practice location address for Allergy Clinic LLC is 511 SW 10TH Ave, Suite 1301, Portland, OR 97205-2732 and can be reached out via phone at 503-228-0155 and via fax at 503-226-8342.
Provider Profile Details
- NPI Number
- 1679790604
- Provider Name
- Allergy Clinic LLC
- Provider Entity Type
- Organization
- Address
- 511 SW 10TH Ave, Suite 1301, Portland, OR 97205-2732
- Phone Number
- 503-228-0155
- Fax Number
- 503-226-8342
- Primary Taxonomy
- Allergy & Immunology, Allergy · 207KA0200X
- Organization Subpart
- No
- Authorized Official
- Dr. Mark Thomas O'Hollaren, MD · Owner · 503-228-0155
- Provider Enumeration Date
- April 19, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 511 SW 10TH Ave
Suite 1301
Portland, OR 97205-2732 - City
- Portland
- State
- Oregon
- Zip
- 97205-2732
- Phone Number
- 503-228-0155
- Fax Number
- 503-226-8342
Provider Business Mailing Address Details
- Address
- 511 SW 10TH Ave
Suite 1301
Portland, OR 97205-2732 - City
- Portland
- State
- OR
- Zip
- 97205-2732
- Phone Number
- 503-228-0155
- Fax Number
- 503-226-8342
License Information
- License Number
- 13450
- License State
- OR
- Taxonomy
- Allergy & Immunology, Allergy · 207KA0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Allergy Clinic LLC?
The NPI number of Allergy Clinic LLC is 1679790604. It was assigned on April 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Allergy Clinic LLC?
Allergy Clinic LLC is registered under the primary taxonomy Allergy & Immunology, Allergy (code 207KA0200X), licensed in OR under license number 13450.
Where does Allergy Clinic LLC practice?
The practice location is 511 SW 10TH Ave, Suite 1301, Portland, OR 97205-2732. The office can be reached at 503-228-0155 (phone) or 503-226-8342 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679790604 directly on the NPPES registry website.