NPI 1730257940

East Portland Ear Nose and Throat Clinic

Organisation Specialist Gresham, OR

Practice location

Address: 24076 SE Stark St Suite 230, Gresham, OR 97030-3373
Phone: (503) 465-5461
Fax: (503) 465-5468

Authorised official

Name: Roger J Wobig
Title: Partner
Phone: (503) 465-5461

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Oregon →

Registry record

NPI: 1730257940
Entity type: Organization
NPI issued: 4 Dec 2006
Record last updated: 21 Jul 2022

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.