EAST PORTLAND EAR NOSE AND THROAT CLINIC is a specialist in Gresham, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EAST PORTLAND EAR NOSE AND THROAT CLINIC NPI is 1730257940. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
24076 SE STARK ST
SUITE 230
GRESHAM, OR
ZIP 97030-373
Phone: (503) 465-5461
Fax: (503) 465-5468
The provider's authorized official is Roger J Wobig .
The authorized official title is Partner and has the following contact phone number (503) 465-5461.
The enumeration date for this NPI number is 12/4/2006 and was last updated on 7/21/2022.