Provider Demographics
NPI:1295589018
Name:AIRE MEDICAL
Entity type:Organization
Organization Name:AIRE MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:SI
Authorized Official - Phone:503-409-1204
Mailing Address - Street 1:3990 CHERRY AVE NE STE 100
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-4888
Mailing Address - Country:US
Mailing Address - Phone:503-409-1204
Mailing Address - Fax:
Practice Address - Street 1:3990 CHERRY AVE NE STE 100
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-4888
Practice Address - Country:US
Practice Address - Phone:503-409-1204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty