NPI 1821153941
Head & Neck Surgical Associates, PC
Practice location
- Address
- 1849 NW Kearney St STE 300, Portland, OR 97209-1453
- Phone
- (503) 224-1371
- Fax
- (503) 224-0722
- Mailing address
- 1849 NW Kearney St Suite 300, Portland, OR 97209-1453
Authorised official
- Name
- Shannon Gresh
- Title
- Clinic Operations Manager
- Phone
- (503) 224-1371
Registered specialties (2)
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Otology & Neurotology Physician
Registry record
- NPI
- 1821153941
- Entity type
- Organization
- NPI issued
- 27 Dec 2006
- Record last updated
- 21 May 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.