NPI 1093169104

App Ent

Organisation Otolaryngology Physician Grants Pass, OR

Practice location

Address: 537 Union Ave Second Floor -2c, Grants Pass, OR 97527-5543
Phone: (541) 476-7775
Fax: (541) 476-3572
Mailing address: PO Box 748157, Los Angeles, CA 90074-8157

Authorised official

Name: Patrick Hocking
Title: Cafo
Phone: (541) 789-4916

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Oregon →

Registry record

NPI: 1093169104
Entity type: Organization
NPI issued: 15 Apr 2016
Record last updated: 15 Apr 2016

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.