NPI 1427056324

Columbia Gorge Ent, LLC

Organisation Otolaryngology Physician The Dalles, OR

Practice location

Address: 1815 E 19th St Suite 1, The Dalles, OR 97058-3365
Phone: (541) 298-5563
Fax: (541) 298-7746

Authorised official

Name: Charles R Ford
Title: Owner
Phone: (541) 298-5563

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence MD10654 (OR)

Other Otolaryngology providers in Oregon →

Registry record

NPI: 1427056324
Entity type: Organization
NPI issued: 13 Jul 2005
Record last updated: 23 Aug 2007

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.