Eastside Allergy Asthma & General Internal Medicine Pc

LBN: Eastside Allergy Asthma & General Internal Medicine Pc
Eastside Allergy Asthma & General Internal Medicine Pc is an health care organization with primary practice located at 2850 Se Powell Blvd Suite 206, Gresham OR 97080-1494. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. Eastside Allergy Asthma & General Internal Medicine Pc can be contacted via phone (503) 666-5025, or through Sargent, Austin Underwood via phone (503) 666-5025.

Contact Information

Primary practice address
2850 Se Powell Blvd Suite 206 Gresham OR 97080-1494
Phone: (503) 666-5025
Fax: (503) 666-5795
Website:
Map and Directions
Authorized official contact:
Name: Sargent, Austin Underwood M.D. PHD
Phone: (503) 666-5025

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X MD21072 Oregon

Profile Details

NPI number 1922304302
LBN Legal business name Eastside Allergy Asthma & General Internal Medicine Pc
DBA Doing business as
Authorized official Sargent, Austin Underwood M.D. PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 2nd, 2011
Last updated Feb 2nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922304302 NPPES
Oregon MEDICAID 151110

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