West Hills Allergy and Asthma Associates LLC
Organization Active NPI Allergy Physician · Portland, OR
NPI 1336744713 · NPPES record last updated Jun 3, 2021
Key facts
- NPI
- 1336744713
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy Physician 207KA0200X
- Legal business name
- WEST HILLS ALLERGY AND ASTHMA ASSOCIATES LLC
- Practice address
- 9701 SW Barnes Rd Ste 130
Portland, OR 97225-6688 - Phone
- (503) 297-4779
- Fax
- (503) 297-0499
- NPI assigned
- Dec 2, 2020
- Organization subpart
- No
Authorized official
- Name
- L Rene Anderson-Cowell, M.D.
- Title
- Doctor
- Phone
- (360) 254-4316
Practitioners 18
-
Tyler Couch, PA-C
-
Jillian Bianchi, PA-C
-
James W. Baker, MD
-
Bernard A Gasch, MD
-
Sarah Elizabeth Hadfield, PA-C
-
Kerianne McKeon, PA-C
-
Tara Pemberton, PA-C
-
Beata L Rydzik, MD
-
Kimberly Biggs Sanders, PHYSICIAN ASSISTANT
-
Erin Jessica Worth, PA-C
-
Alexander Chan Yu, MD, PHD
-
Scott Allen Dyer, DO
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2293767 | West Hills Allergy and Asthma Associates | Certificate of waiver | Nov 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210913000310 | OR | Part B Supplier - Clinic/Group Practice | 4587060850 |
Receives reassigned benefits from 3 practitioners Practice locations: Portland, OR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician |
207KA0200X | Yes |
Addresses
Primary practice location
9701 SW Barnes Rd Ste 130
Portland, OR 97225-6688
Mailing address
9701 SW Barnes Rd Ste 130
Portland, OR 97225-6688
Phone (503) 297-4779
Other providers in Portland, OR
- West Coast Dental
- West Coast Endodontics, PC
- West Coast Wellness, LLC
- West End Dental
- West Haven Chiropractic
- West Hills Convalescent Center Limited Partnership
- West Hills Gastroenterology Associates PC
- West Hills Gastroenterology Equipment Corp
- West Hills Village Limited Partnership
- West Hills Vision Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.