NPI 1679790604

Allergy Clinic LLC

Organisation Allergy Physician Portland, OR

Practice location

Address: 511 SW 10th Ave Suite 1301, Portland, OR 97205-2732
Phone: (503) 228-0155
Fax: (503) 226-8342

Authorised official

Name: Mark Thomas O'Hollaren
Title: Owner
Phone: (503) 228-0155

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 13450 (OR)

Other Allergy & Immunology providers in Oregon →

Registry record

NPI: 1679790604
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.