Allergy Clinic LLC
Allergy & Immunology, Allergy in Portland, Oregon
1679790604- 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. The NPI number for Allergy Clinic LLC is 1679790604 and holds license No. 13450 (OR). The current practice location address is 511 SW 10TH Ave, Suite 1301, Portland, OR 97205-2732 and the office can be reached by phone at 503-228-0155 and by fax at 503-226-8342. The NPI was assigned on April 19, 2007 and the record was last updated in NPPES on August 22, 2020.
●Provider Profile Details
- NPI Number
- 1679790604
- Provider Name
- Allergy Clinic LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Allergy & Immunology, Allergy · 207KA0200X
- Organization Subpart
- No
- Authorized Official
- Dr. Mark Thomas O'Hollaren, MD · Owner · 503-228-0155
- Enumeration Date
- April 19, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 511 SW 10TH Ave
Suite 1301
Portland, OR 97205-2732 - City
- Portland
- State
- Oregon
- ZIP
- 97205-2732
- Country
- US
- Phone Number
- 503-228-0155
- Fax Number
- 503-226-8342
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Allergy & Immunology, Allergy 193400000X - Single Specialty Group | 207KA0200X | Yes | 13450 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. 13450 (OR).
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 at npiregistry.cms.hhs.gov.