Unknown Individual – Otolaryngology Physician, NPI 1881797785
Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Interstate Medical Office Central, 3600, North Interstate Avenue, Overlook, Portland, Metro, Multnomah County, Oregon, 97227, United States
PORTLAND, OR 972271106
Phone: (503) 285-9321
Type: Location
100, Kerr Parkway, Mountain Park, Lake Oswego, Clackamas County, Oregon, 97035, United States
#15
LAKE OSWEGO, OR 970351507
Phone: (503) 636-8092
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97227)
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