Organization · Type 2 NPI

East Portland Ear Nose and Throat Clinic

Specialist · Gresham, OR

NPI number 1730257940 Active

Practice location

24076 SE Stark St, Suite 230
Gresham, OR 97030-3373

Call (503) 465-5461 Map

Fax (503) 465-5468

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1730257940

East Portland Ear Nose and Throat Clinic's National Provider Identifier is 1730257940, issued on Dec 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gresham, OR. The record was last updated on Jul 21, 2022.