NPI 1043874696

Modern Nose Clinic LLC

Organisation Otolaryngology Physician Salem, OR

Practice location

Address: 340 Vista Ave SE STE 100, Salem, OR 97302-4546
Phone: (503) 584-1174
Fax: (503) 584-1330

Authorised official

Name: Douglas Skarada
Title: Medical Director
Phone: (503) 584-1174

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Oregon →

Registry record

NPI: 1043874696
Entity type: Organization
NPI issued: 30 Apr 2019
Record last updated: 30 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.