Asthma Allergy Centre | |
4915 Sw Griffith Dr Ste 304 Beaverton OR 97005-2933 | |
(503) 620-5614 | |
(503) 598-4688 |
Full Name | Asthma Allergy Centre |
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Speciality | Clinic/Center |
Location | 4915 Sw Griffith Dr Ste 304, Beaverton, Oregon |
Authorized Official Name and Position | Rajeev Jain (COO) |
Authorized Official Contact | 4084760624 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Asthma Allergy Centre 43575 Mission Blvd Ste 716 Fremont CA 94539-5831 Ph: (510) 373-3000 | Asthma Allergy Centre 4915 Sw Griffith Dr Ste 304 Beaverton OR 97005-2933 Ph: (503) 620-5614 |
NPI Number | 1215928668 |
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Provider Enumeration Date | 11/03/2005 |
Last Update Date | 10/29/2024 |
Medicare PECOS PAC ID | 5496658254 |
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Medicare Enrollment ID | O20040129000292 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215928668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Kuo C Chang |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1518940162 PECOS PAC ID: 9739082504 Enrollment ID: I20040217000068 |
Provider Name | Sanjeev Jain |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1710973839 PECOS PAC ID: 1759313604 Enrollment ID: I20130710000032 |
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Miranda Mccormack, M.d., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5040 Sw Griffith Dr, #201, Beaverton, OR 97005 Phone: 503-616-2224 | |
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