Whalio Doctors

NPI 1821153941

Head & Neck Surgical Associates, PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Portland, OR

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
Allopathic & Osteopathic Physicians Taxonomy 204E00000X
Otology & Neurotology Physician
Allopathic & Osteopathic Physicians Taxonomy 207YX0901X

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.