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CLINIC FOR EAR NOSE THROAT HEAD & NECK MEDICINE & SURGERY P S NPI 1588854178


NPI Information

NPI: 1588854178
Provider Name: CLINIC FOR EAR NOSE THROAT HEAD & NECK MEDICINE & SURGERY P S

Doing Business As: OTOLARYNGOLOGY CLINIC

Classification: Otolaryngology - 207YX0007X
Entity Type: Organization

Specialization: Plastic Surgery within the Head & Neck

Address:
307 S 12TH AVE
SUITE 12
YAKIMA, WA
ZIP 98902
Phone: (509) 575-7500
Get Directions

CLINIC FOR EAR NOSE THROAT HEAD & NECK MEDICINE & SURGERY P S is a plastic surgery within the head and neck otolaryngology in Yakima, WA. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. CLINIC FOR EAR NOSE THROAT HEAD & NECK MEDICINE & SURGERY P S NPI is 1588854178. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Otolaryngology Clinic.

The provider's business location address is:

307 S 12TH AVE
SUITE 12
YAKIMA, WA
ZIP 98902-100
Phone: (509) 575-7500
Fax: (509) 575-0333

The provider's authorized official is James I Abbenhaus .
The authorized official title is President and has the following contact phone number (509) 575-7500.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 11/8/2007.


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
1207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckYes

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
1GAB38329MEDICARE PINWASHINGTON

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: 4/28/2024

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