institution
Eastside Allergy Asthma & General Internal Medicine Pc
Allergy Physician in Gresham, Oregon
NPI 1922304302

Eastside Allergy Asthma & General Internal Medicine Pc is an Allergy Physician based in Gresham, OR and is specialized in Allergy. Eastside Allergy Asthma & General Internal Medicine Pc practices in Gresham, OR. The NPI Number for Eastside Allergy Asthma & General Internal Medicine Pc is 1922304302 and holds a License No. MD21072 (Oregon).

The current practice location address for Eastside Allergy Asthma & General Internal Medicine Pc is 2850 Se Powell Blvd, Gresham, OR and can be reached out via phone at 503-666-5025 and via fax at 503-666-5795. You can also correspond with Eastside Allergy Asthma & General Internal Medicine Pc through the mailing address at 2850 SE POWELL BLVD, GRESHAM, OR - 97080-1494 (mailing address contact number: 503-666-5025).

Location: 2850 Se Powell Blvd, Gresham, OR, 97080-1494
institution
Provider Profile Details
NPI Number
1922304302
Provider Name
Eastside Allergy Asthma & General Internal Medicine Pc
Credential
Provider Entity Type
Organization
Address
2850 Se Powell Blvd, Gresham, OR, 97080-1494
Phone Number
503-666-5025
Fax Number
503-666-5795
Provider Enumeration Date
02/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
151110 05 OR
institution
Provider Business Practice Location Address Details
Address
2850 Se Powell Blvd
City
State
Zip
97080-1494
Phone Number
503-666-5025
Fax Number
503-666-5795
person
Provider Business Mailing Address Details
Address
2850 Se Powell Blvd
City
State
Zip
97080-1494
Phone Number
503-666-5025
Fax Number
503-666-5795
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
MD21072 (Oregon)
Definition
Definition to come...
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