Organization
ALLERGY ASTHMA & DERMATOLOGY ASSOCIATES PC
Active
Other names
Allergy Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M BICKLER (ADMINISTRATOR)
(503) 294-6171
Entity
Organization
Contact information
Practice address
233 NW 16TH AVE, PORTLAND, OR 97209-2630
(503) 226-6480
(503) 294-1868
Mailing address
2415 NE 134TH ST, SUITE 301, VANCOUVER, WA 98686-3025
(503) 294-1866
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207KA0200X
Allergy Physician
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
207N00000X
Dermatology Physician
Primary
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
05/19/2006
Last updated
10/04/2012
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