OrganizationActive
Eastside Allergy Asthma & General Internal Medicine PC
NPI 1922304302 · Allergy Physician · Gresham, OR
Provider details
- NPI number
- 1922304302
- Entity type
- Organization
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Eastside Allergy, Asthma & General Internal Medicine PC
- Organization subpart
- Yes
- Authorized official
- Austin Sargent, President/Owner(503) 666-5025
- License
- MD21072 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2850 Se Powell Blvd
Suite 206
Gresham, OR 97080-1494
Phone: (503) 666-5025
Fax: (503) 666-5795
Approximate (ZIP-level) locationGet directions
Mailing address
2850 Se Powell Blvd
Gresham, OR 97080-1494
Registry dates
- Enumerated
- 2011-02-02
- Last updated
- 2011-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.