Organization · Type 2 NPI

Lake Grove Ent PC

Otolaryngology Physician · Lake Oswego, OR

NPI number 1043211824 Active

Practice location

17704 Jean Way, Ste 101
Lake Oswego, OR 97035-5497

Call (503) 699-0370 Map

Fax (971) 236-9099

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1043211824

Lake Grove Ent PC's National Provider Identifier is 1043211824, issued on Aug 3, 2005. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Lake Oswego, OR. The record was last updated on Apr 4, 2022.