OrganizationActive
City of Portland Maine
NPI 1437485117 · Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Portland, ME
Provider details
- NPI number
- 1437485117
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon Jennings, City Manager(207) 874-8944
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
103 India St
Portland, ME 04101-4211
Phone: (207) 874-8446
Fax: (207) 756-8087
Approximate (ZIP-level) locationGet directions
Mailing address
389 Congress St
Portland, ME 04101-3566
Registry dates
- Enumerated
- 2009-10-30
- Last updated
- 2015-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.