Organization · Type 2 NPI
Eastside Allergy Asthma & General Internal Medicine PC
Allergy Physician · Gresham, OR
NPI number
1922304302
Active
Practice location
2850 SE Powell Blvd, Suite 206
Gresham, OR 97080-1494
Fax (503) 666-5795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | MD21072 (OR) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1922304302
Eastside Allergy Asthma & General Internal Medicine PC's National Provider Identifier is 1922304302, issued on Feb 2, 2011. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Gresham, OR. The record was last updated on Feb 2, 2011.