ALLERGY CLINIC LLC – NPI #1679790604
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

Health Care Provider Taxonomy Code for Allergy & Immunology

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ALLERGY CLINIC LLC is an allergy & immunologist located in PORTLAND, OR. NPPES has assigned the NPI number 1679790604 to ALLERGY CLINIC LLC on April 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLERGY CLINIC LLC below.

NPI Profile for
ALLERGY CLINIC LLC

NPI Number

1679790604

Enumeration Date

Apr 19, 2007
(more than 19 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

ALLERGY CLINIC LLC

Primary location

511 SW 10TH AVE
SUITE 1301
PORTLAND, OR 97205-2732

Phone: (503) 228-0155 Fax: (503) 226-8342

Mailing address

Same as primary location

Organization Subpart

Authorized Official

MARK O'HOLLAREN
OWNER
Phone: (503) 228-0155

Updated

Aug 22, 2020

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
207KA0200X - Allergy & Immunology / Allergy (Primary)	OR	13450

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.