Active NPI
Allergy Asthma Clinic PC
- Clinic/Center
- Oregon City, OR
National Provider Identifier
1669429262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MD12758
- Legal business name
- ALLERGY ASTHMA CLINIC PC
- Practice address
- 14279 Glen Oak Rd
Ste 204
Oregon City, OR 97045-8008 - Phone
- (503) 631-4302
- Fax
- (503) 631-4035
- NPI assigned
- May 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- June M Hawkins, M.D
- Title
- President/Secretary/Treasurer
- Phone
- (503) 631-4302
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MD12758 | OR | Primary |
Addresses
Primary practice location
14279 Glen Oak Rd
Ste 204
Oregon City, OR 97045-8008
Mailing address
20561 S Adams Vista CT
Oregon City, OR 97045-7358
Phone (503) 631-4302
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 838724000 | Other | OR | BCBS GROUP |
| 009196 | Medicaid | OR | |
| MD12758 | Other | OR | MD LICENSE |
National Provider Directory
National Provider DirectoryLocations
14279 Glen Oak Rd
Ste 204
Oregon City, OR 97045
Phone (503) 631-4302
14279 S Glen Oaks Rd
Oregon City, OR 97045
Phone (503) 631-4302
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Oregon City, OR
- NPI 1104809276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1669429262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20561 S ADAMS VISTA CT",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970457358",
"telephone_number": "503-631-4302",
"fax_number": "503-631-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14279 GLEN OAK RD",
"address_2": "STE 204",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970458008",
"telephone_number": "503-631-4302",
"fax_number": "503-631-4035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY ASTHMA CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "JUNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/SECRETARY/TREASURER",
"authorized_official_telephone_number": "503-631-4302",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OR",
"license": "MD12758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "838724000",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009196",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "MD12758",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.