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Organization
OREGON EAR NOSE AND THROAT SURGERY
Active
Organization
OREGON EAR NOSE AND THROAT SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANNEY M MARIN (ADMINISTRATOR)
(541) 494-0500
Entity
Organization
Contact information
Practice address
920 ROYAL AVE, MEDFORD, OR 97504-6169
(541) 779-7331
(541) 779-3522
Mailing address
920 ROYAL AVE, MEDFORD, OR 97504-6169
(541) 779-7331
(541) 779-3522
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/18/2011
Last updated
11/16/2011
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