Individual provider · Type 1 NPI

Mark Kenneth Wax, MD

Otolaryngology Physician · Portland, OR

NPI number 1912912429 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd # 01
Portland, OR 97239-3098

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XMD21318 (OR)

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 1912912429

Mark Kenneth Wax, MD's National Provider Identifier is 1912912429, issued on Jul 31, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 17, 2007.