Provider Demographics
NPI:1336744713
Name:WEST HILLS ALLERGY AND ASTHMA ASSOCIATES LLC
Entity type:Organization
Organization Name:WEST HILLS ALLERGY AND ASTHMA ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:L
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:ANDERSON-COWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-254-4316
Mailing Address - Street 1:9701 SW BARNES RD STE 130
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6688
Mailing Address - Country:US
Mailing Address - Phone:503-297-4779
Mailing Address - Fax:503-297-0499
Practice Address - Street 1:9701 SW BARNES RD STE 130
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6688
Practice Address - Country:US
Practice Address - Phone:503-297-4779
Practice Address - Fax:503-297-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty