Organization
ALLERGY ASTHMA CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE M HAWKINS M.D (PRESIDENT/SECRETARY/TREASURER)
(503) 631-4302
Entity
Organization
Contact information
Practice address
14279 GLEN OAK RD, STE 204, OREGON CITY, OR 97045-8008
(503) 631-4302
(503) 631-4035
Mailing address
20561 S ADAMS VISTA CT, OREGON CITY, OR 97045-7358
(503) 631-4302
(503) 631-4035
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD12758
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009196
—
OR
01
—
838724000
BCBS GROUP
OR
01
—
MD12758
MD LICENSE
OR
Enumeration date
05/28/2006
Last updated
03/07/2023
Update your record
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