# OREGON EAR NOSE AND THROAT SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275821746
- **Authorized official:** MS. JANNEY M MARIN (ADMINISTRATOR)
- **Authorized official phone:** (541) 494-0500

## Contact information

- **Practice address:** 920 ROYAL AVE, MEDFORD, OR 97504-6169
- **Practice address phone:** (541) 779-7331
- **Practice address fax:** (541) 779-3522
- **Mailing address:** 920 ROYAL AVE, MEDFORD, OR 97504-6169
- **Mailing address phone:** (541) 779-7331
- **Mailing address fax:** (541) 779-3522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2011
- **Last updated:** 11/16/2011