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EASTMORELAND EAR NOSE & THROAT CLINIC LLP NPI 1386754398


NPI Information

NPI: 1386754398
Provider Name: EASTMORELAND EAR, NOSE & THROAT, CLINIC, LLP

Doing Business As: MT. SCOTT EAR, NOSE AND THROAT

Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
9200 SE 91ST AVE
SUITE 200
PORTLAND, OR
ZIP 97266
Phone: (503) 233-5548
Get Directions

EASTMORELAND EAR, NOSE & THROAT, CLINIC, LLP is an otolaryngology/facial plastic surgery otolaryngology in Portland, OR. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. EASTMORELAND EAR, NOSE & THROAT, CLINIC, LLP NPI is 1386754398. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mt. Scott Ear, Nose And Throat.

The provider's business location address is:

9200 SE 91ST AVE
SUITE 200
PORTLAND, OR
ZIP 97266-756
Phone: (503) 233-5548
Fax: (503) 230-1009

The provider's authorized official is Robert Lee Roberts .
The authorized official title is Managing Partner and has the following contact phone number (503) 233-5548.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 11/9/2010.


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
1207RS0012XInternal MedicineSleep MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes

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
1109148MEDICARE ID-TYPE UNSPECIFIEDOREGON

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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