Asthma and Allergy Clinic, LLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

ASTHMA AND ALLERGY CLINIC, LLC

Practice address

545 NE 47TH Ave
Suite 310
Portland, OR 97213-2238

Phone

(503) 238-6233

Fax

(503) 231-7668

NPI assigned

Oct 25, 2010

Last updated

Oct 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael J Noonan

Title

MD

Phone

(503) 238-6233

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anita Tam Su, MD

  • Allergy Physician
  • Portland, OR
  • NPI 1891905261
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1407156482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 NE 47TH AVE",
            "address_2": "SUITE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132238",
            "telephone_number": "503-238-6233",
            "fax_number": "503-231-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 NE 47TH AVE",
            "address_2": "SUITE 310",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132238",
            "telephone_number": "503-238-6233",
            "fax_number": "503-231-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA AND ALLERGY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "503-238-6233"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Allergy & Immunology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.