EAST PORTLAND EAR NOSE AND THROAT CLINIC
Organization (NPI-2)
Active
Specialist
Provider Information
- NPI Number
1730257940- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 24076 SE STARK ST SUITE 230, GRESHAM, OR, 970303373
- Phone
- (503) 465-5461
- Fax
- (503) 465-5468
Specialties & Taxonomies
Specialist
Primary License: OR