PORTLAND EAR NOSE & THROAT
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1598835688- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 10535 NE GLISAN #350, PORTLAND, OR, 97220
- Phone
- (503) 408-1323
- Fax
- (503) 408-4463
Specialties & Taxonomies
Otolaryngology
Primary License: OR #MD21133