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ROGUE VALLEY EAR NOSE THROAT & FACIAL PLASTICS PC NPI 1427296623


NPI Information

NPI: 1427296623
Provider Name: ROGUE VALLEY EAR, NOSE, THROAT & FACIAL PLASTICS PC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1601 NE 6TH ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 479-2600
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ROGUE VALLEY EAR, NOSE, THROAT & FACIAL PLASTICS PC is an otolaryngology in Grants Pass, OR. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. ROGUE VALLEY EAR, NOSE, THROAT & FACIAL PLASTICS PC NPI is 1427296623. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1601 NE 6TH ST
GRANTS PASS, OR
ZIP 97526-035
Phone: (541) 479-2600
Fax: (541) 479-2990

The provider's authorized official is Kimberly A Kozak .
The authorized official title is Owner and has the following contact phone number (541) 479-2600.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 1/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic SurgeryNo
2207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1150358MEDICAIDOREGON
2G50481MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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