OrganizationActive
Allergy Clinic LLC
NPI 1679790604 · Allergy Physician · Portland, OR
Provider details
- NPI number
- 1679790604
- Entity type
- Organization
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mark O'Hollaren, Owner
- License
- 13450 (OR)
Practice location
511 Sw 10th Ave
Suite 1301
Portland, OR 97205-2732
Phone: (503) 228-0155
Fax: (503) 226-8342
Mailing address
511 Sw 10th Ave
Portland, OR 97205-2732
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.