Organization Active NPI

Allergy Asthma Clinic PC

  • Clinic/Center
  • Oregon City, OR
National Provider Identifier
1669429262
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD12758 Issued in OR
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

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
June M Hawkins, M.DNPI 1104809276
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
838724000OtherORBCBS GROUP
009196MedicaidOR
MD12758OtherORMD LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.