# ALLERGY AND ASTHMA ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669746566
- **Authorized official:** DR. CHARLES G JACKSON M.D. (MEMBER)
- **Authorized official phone:** (425) 454-2191

## Contact information

- **Practice address:** 1200 112TH AVE NE, SUITE C210, BELLEVUE, WA 98004-3732
- **Practice address phone:** (425) 454-2191
- **Practice address fax:** (425) 453-1270
- **Mailing address:** 1200 112TH AVE NE, SUITE C210, BELLEVUE, WA 98004-3732
- **Mailing address phone:** (425) 454-2191
- **Mailing address fax:** (425) 453-1270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 03/22/2012