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COLUMBIA GORGE ENT LLC NPI 1427056324


NPI Information

NPI: 1427056324
Provider Name: COLUMBIA GORGE ENT, LLC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1815 E 19TH ST
SUITE 1
THE DALLES, OR
ZIP 97058
Phone: (541) 298-5563
Get Directions

COLUMBIA GORGE ENT, LLC is an otolaryngology in The Dalles, 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. COLUMBIA GORGE ENT, LLC NPI is 1427056324. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1815 E 19TH ST
SUITE 1
THE DALLES, OR
ZIP 97058-365
Phone: (541) 298-5563
Fax: (541) 298-7746

The provider's authorized official is Charles R Ford .
The authorized official title is Owner and has the following contact phone number (541) 298-5563.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 8/23/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyMD10654OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C92640MEDICARE UPINOREGON
2022888MEDICAIDOREGON
3DB9629OTHEROREGONRAILROAD MEDICARE
47124860MEDICAIDWASHINGTON
5120373MEDICARE PINOREGON

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: 5/5/2024

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