NPI 1184214462

Ear Nose and Throat Northwest LLC

Organisation Otolaryngology Physician Salem, OR

Practice location

Address: 2025 Madrona Ave SE, Salem, OR 97302-1149
Phone: (503) 383-8493
Mailing address: 1532 Webster Dr SE, Salem, OR 97302-6405

Authorised official

Name: Jared Hiebert
Title: Owner
Phone: (503) 383-8493

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Oregon →

Registry record

NPI: 1184214462
Entity type: Organization
NPI issued: 21 Jan 2021
Record last updated: 21 Jan 2021

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.