# VALLEY ALLERGY & ASTHMA CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710324686
- **Authorized official:** WASEEM MAKHOUL M.D. (DIRECTOR)
- **Authorized official phone:** (503) 208-9144

## Contact information

- **Practice address:** 10365 SE SUNNYSIDE RD, SUITE 245, CLACKAMAS, OR 97015-5741
- **Practice address phone:** (503) 208-9144
- **Practice address fax:** (503) 698-1900
- **Mailing address:** 10365 SE SUNNYSIDE RD, SUITE 245, CLACKAMAS, OR 97015-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD150278 | OR | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | MD60113845 | WA | — |

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 05/31/2013