Organization
VALLEY ALLERGY & ASTHMA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASEEM MAKHOUL M.D. (DIRECTOR)
(503) 208-9144
Entity
Organization
Contact information
Practice address
10365 SE SUNNYSIDE RD, SUITE 245, CLACKAMAS, OR 97015-5741
(503) 208-9144
(503) 698-1900
Mailing address
10365 SE SUNNYSIDE RD, SUITE 245, CLACKAMAS, OR 97015-5741
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD150278
OR
261QM2500X
Medical Specialty Clinic/Center
MD60113845
WA
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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