Eastside Allergy Asthma & General Internal Medicine PC

NPI #1922304302 in Gresham, Oregon

Provider Information

NPI Number
1922304302
Entity Type
Organization
Organization Name
Eastside Allergy Asthma & General Internal Medicine PC
Subpart
Yes (part of a larger organization)
Parent Organization
EASTSIDE ALLERGY, ASTHMA & GENERAL INTERNAL MEDICINE PC
Primary Specialty
Allergy & Immunology - Allergy
Enumeration Date
Feb 2, 2011
Last Updated
Feb 2, 2011

Practice Location

Address
2850 SE POWELL BLVD
Address 2
SUITE 206
State
Oregon
ZIP Code
97080-1494
Phone
(503) 666-5025

Authorized Official

Name
DR. AUSTIN UNDERWOOD SARGENT, M.D. PHD
Title
PRESIDENT/OWNER
Phone
(503) 666-5025

Specialties & Taxonomy Codes

Specialty
Allergy & Immunology - AllergyAllergy

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