NPI 1801849849 · live from the CMS NPI Registry
Allergy Asthma & Dermatology Associates PC
Dermatology in Portland, OR. National Provider Identifier 1801849849, active.
NPI record
| NPI | 1801849849 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 233 Nw 16th Ave, Portland, OR 97209 |
| Practice phone | 503-226-6480 |
| Mailing address | 2415 Ne 134th St, Suite 301, Vancouver, WA 98686 |
| Enumerated | May 19, 2006 |
| Last updated | October 4, 2012 |
| Authorized official | Jennifer Bickler, Administrator |
| Other names | Allergy Associates, PC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology, Allergy | 207KA0200X | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — |
| Dermatology, Clinical & Laboratory Dermatological Immunology | 207NI0002X | — |
| Allergy & Immunology | 207K00000X | — |
| Allergy & Immunology, Clinical & Laboratory Immunology | 207KI0005X | — |
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.