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PDX ALLERGY LLC NPI 1447874367


NPI Information

NPI: 1447874367
Provider Name: PDX ALLERGY LLC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
8740 SE SUNNYBROOK BLVD STE 300
CLACKAMAS, OR
ZIP 97015
Phone: (971) 358-5600
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PDX ALLERGY LLC is an allergy immunology in Clackamas, OR. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. PDX ALLERGY LLC NPI is 1447874367. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8740 SE SUNNYBROOK BLVD STE 300
CLACKAMAS, OR
ZIP 97015-737
Phone: (971) 358-5600
Fax: (971) 358-5601

The provider's authorized official is Angie Merriam .
The authorized official title is Practice Manager and has the following contact phone number (971) 358-5600.

The enumeration date for this NPI number is 6/5/2020 and was last updated on 4/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447874367MEDICAIDOREGON
2500784605MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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