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Organization Active NPI

Allergy Asthma & Dermatology Associates PC

Doing business as Allergy Associates, PC

  • Dermatology Physician
  • Portland, OR
National Provider Identifier
1801849849
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ALLERGY ASTHMA & DERMATOLOGY ASSOCIATES PC
Doing business as
Allergy Associates, PC
Practice address
233 NW 16TH Ave
Portland, OR 97209-2630
Phone
(503) 226-6480
Fax
(503) 294-1868
NPI assigned
May 19, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Jennifer M Bickler
Title
Administrator
Phone
(503) 294-6171

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU
Allergy Physician 207KA0200X NU
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X NU
Dermatology Physician 207N00000X NU Primary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X NU
Procedural Dermatology Physician 207NS0135X NU

Addresses

Primary practice location

233 NW 16TH Ave
Portland, OR 97209-2630

Mailing address

2415 NE 134TH St
Suite 301
Vancouver, WA 98686-3025
Phone (503) 294-1866

Other names 1

  • Allergy Associates, PC Doing business as

National Provider Directory

National Provider Directory

Locations

9290 SE Sunnybrook Blvd
Ste 220
Clackamas, OR 97015
Phone (503) 215-2890

705 SE Baseline St
Hillsboro, OR 97123
Phone (503) 352-7367

3975 Mercantile Dr
Ste 158
Lake Oswego, OR 97035
Phone (503) 636-9011

4900 NE 122nd Ave
Portland, OR 97230
Phone (503) 294-1864

6542 SE Lake Rd
Ste 101
Portland, OR 97222
Phone (503) 387-5546

9701 SW Barnes Rd
Ste 130
Portland, OR 97225
Phone (503) 297-4779

8642 SW Main St
Ste 100
Wilsonville, OR 97070
Phone (503) 463-6799

788 14th Ave
Longview, WA 98632
Phone (360) 636-1020

8721 NE 5th St
Vancouver, WA 98664
Phone (360) 254-6844

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1801849849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST",
            "address_2": "SUITE 301",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863025",
            "telephone_number": "503-294-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NW 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092630",
            "telephone_number": "503-226-6480",
            "fax_number": "503-294-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASTHMA & DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "BICKLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-294-6171"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 4, 2012; 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.