Asthma Allergy Centre – Specialist, NPI 1215928668
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Asthma Allergy Centre
10373 NE Hancock St
Portland, OR 972203873
Phone: (971) 220-2202
Fax: (888) 468-7648
Type: Location
9735, Southwest Shady Lane, Greenburg Road, Tigard, Metro, Washington County, Oregon, 97223, United States
#102
TIGARD, OR 972235481
Phone: (503) 620-5614
Fax: (503) 598-4688
Type: Mailing
4915 SW GRIFFITH DR STE 304
BEAVERTON, OR 970052933
Phone: (503) 620-5614
Fax: (503) 598-4688
Type: Location
43575 MISSION BLVD STE 716
FREMONT, CA 945395831
Phone: (408) 476-0624
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040129000292 | O | Clinic/Group Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97220)
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