LAKE GROVE ENT PC
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1043211824- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 17704 JEAN WAY STE 101, LAKE OSWEGO, OR, 970355497
- Phone
- (503) 699-0370
- Fax
- (971) 236-9099
Specialties & Taxonomies
Otolaryngology
Primary