NPIMap

Organization Active NPI

Know Allergy LLC

  • Allergy Physician
  • Portland, OR
National Provider Identifier
1265034987
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
KNOW ALLERGY LLC
Practice address
2275 W Burnside St
Portland, OR 97210-3541
Phone
(503) 297-4779
Fax
(503) 297-0499
NPI assigned
Nov 9, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kursteen Price, MDNPI 1437154226
Title
President
Phone
(360) 254-4316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20210914002621 OR Part B Supplier - Clinic/Group Practice 6800292004 Receives reassigned benefits from 5 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

2275 W Burnside St
Portland, OR 97210
Phone (503) 297-4779

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

2275 W Burnside St
Portland, OR 97210-3541

Mailing address

12575 NE Marx St
Portland, OR 97230-1058
Phone (503) 297-4779

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2020.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1265034987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12575 NE MARX ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301058",
            "telephone_number": "503-297-4779",
            "fax_number": "503-297-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 W BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103541",
            "telephone_number": "503-297-4779",
            "fax_number": "503-297-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOW ALLERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KURSTEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-254-4316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.