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PDX ALLERGY LLC
NPI 1447874367
Allergy & Immunology in Clackamas, OR

Active since June 05, 2020
8740 SE SUNNYBROOK BLVD STE 300, CLACKAMAS, OR 97015(971) 358-5600(971) 358-5601 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2024, Oct 16, 2020, Jun 5, 2020 (3 updates tracked since 2020).

About Pdx Allergy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PDX ALLERGY LLC (NPI 1447874367) is a healthcare organization registered as an allergy & immunology in Clackamas, Oregon and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Gresham and lists Angie Merriam, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1447874367
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NamePDX ALLERGY LLC
Location Address8740 SE SUNNYBROOK BLVD STE 300Clackamas, OR 97015-5737
Mailing Address9200 Se 91st Ave Ste 220Happy Valley, OR 97086-3756 · (971) 358-5600 · Fax (971) 358-5601
Phone(971) 358-5600
Fax(971) 358-5601
Organization SubpartNo
Authorized OfficialAngie MerriamPractice Manager · (971) 358-5600
Enumeration DateJune 5, 2020
Last NPPES UpdateApril 8, 20243 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1447874367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
8740 SE SUNNYBROOK BLVD STE 300, Clackamas, OR 97015
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Secondary Practice Location 1

Location 12150 NE Division St Ste 202Gresham, OR 97030-5859 · Phone (971) 358-5800 · Fax (971) 358-5801

Other Identifiers 2

Medicaid1447874367OR
Medicaid500784605OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pdx Allergy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pdx Allergy LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Kayla Facundus, FNP
Nurse Practitioner
NPI 1841784345
8740 SE SUNNYBROOK BLVD STE 300
Clackamas, OR 97015
(971) 358-5600
✔ PECOS✔ Accepts MedicareSame address
Stephen Fritz, MD
Allergy/Immunology
NPI 1881799963
9200 SE 91ST AVE STE 220
Happy Valley, OR 97086
(971) 358-5600
✔ PECOS✔ Accepts Medicare1.9 mi
Robert Fuchs, DNP, FNP-C
Nurse Practitioner
NPI 1962889089
12180 SW SCHOLLS FERRY RD
Tigard, OR 97223
(888) 663-6331
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pdx Allergy LLC's NPI number?

The NPI number for Pdx Allergy LLC is 1447874367. It was assigned to this organization in the NPPES registry on June 5, 2020.

Where is Pdx Allergy LLC located?

Pdx Allergy LLC is located at 8740 SE Sunnybrook Blvd Ste 300, Clackamas, OR 97015. The listed phone number is (971) 358-5600.

What is Pdx Allergy LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Pdx Allergy LLC enrolled in Medicare?

Yes. Pdx Allergy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pdx Allergy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pdx Allergy LLC, in Allergy/Immunology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pdx Allergy LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Pdx Allergy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pdx Allergy LLC was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.