East Portland Ear Nose and Throat Clinic

NPI #1730257940 in Gresham, Oregon

Provider Information

NPI Number: 1730257940
Entity Type: Organization
Organization Name: East Portland Ear Nose and Throat Clinic
Primary Specialty: Specialist
Enumeration Date: Dec 4, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 24076 SE STARK ST
Address 2: SUITE 230
City: Gresham
State: Oregon
ZIP Code: 97030-3373
Phone: (503) 465-5461

Authorized Official

Name: ROGER J WOBIG, M.D.
Title: PARTNER
Phone: (503) 465-5461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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