East Portland Ear Nose And Throat Clinic in Gresham - Specialist
East Portland Ear Nose And Throat Clinic - NPI 1730257940
East Portland Ear Nose And Throat Clinic is a Specialist in Gresham, Oregon. East Portland Ear Nose And Throat Clinic practices all healthcare services and medical treatments related to Specialist. The NPI Number for East Portland Ear Nose And Throat Clinic is 1730257940. The last update date is 2022-07-21.
East Portland Ear Nose And Throat Clinic's current location address is 24076 Se Stark St, Gresham, Oregon. You can contact this provider via phone number 5034655461 and fax number 5034655468. The mailing address for East Portland Ear Nose And Throat Clinic is 24076 Se Stark St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Portland Ear Nose And Throat Clinic |
|---|---|
| Address | 24076 Se Stark St, Gresham, Oregon |
| Phone Number | 5034655461 |
| Fax Number | 5034655468 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Wobig J Roger |
| Credentials | M.D. |
| Telephone Number | 5034655461 |
NPI Number Detail
| NPI Number | 1730257940 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 24076 Se Stark St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970303373 |
| Phone Number | 5034655461 |
| Fax Number | 5034655468 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
|
Post Comment/ Review Below
What is the unique identifier code issued to East Portland Ear Nose And Throat Clinic by the Centers for Medicare & Medicaid Services?
The East Portland Ear Nose And Throat Clinic has been assigned the NPI (National Provider Identifier) 1730257940. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where East Portland Ear Nose And Throat Clinic's facilities are geographically located?
The facilities of East Portland Ear Nose And Throat Clinic are physically situated at the following location: 24076 Se Stark St, Gresham, OR, 970303373.
What is East Portland Ear Nose And Throat Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for East Portland Ear Nose And Throat Clinic is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730257940 to East Portland Ear Nose And Throat Clinic?
The East Portland Ear Nose And Throat Clinic received its 1730257940 assignment from the Centers for Medicare & Medicaid Services on 2006-12-04.
As of what date were the East Portland Ear Nose And Throat Clinic's details last updated?
The information pertaining to the East Portland Ear Nose And Throat Clinic, including its address, specialty, and other details, was most recently updated on 2022-07-21.