Organization
ASTHMA AND ALLERGY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J NOONAN (MD)
(503) 238-6233
Entity
Organization
Contact information
Practice address
545 NE 47TH AVE, SUITE 310, PORTLAND, OR 97213-2238
(503) 238-6233
(503) 231-7668
Mailing address
545 NE 47TH AVE, SUITE 310, PORTLAND, OR 97213-2238
(503) 238-6233
(503) 231-7668
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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