Organization
PORTLAND OTOLOGIC CLINIC PC
Active
Other names
John M Epley MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MACNAUGHTON EPLEY MD (OWNER)
(503) 233-5925
Entity
Organization
Contact information
Practice address
545 NE 47TH AVE STE 212, PORTLAND, OR 97213-2237
(503) 233-5925
(503) 233-6140
Mailing address
545 NE 47TH AVE STE 212, PORTLAND, OR 97213-2237
(503) 233-5925
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
MD06685
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027713
—
OR
Enumeration date
10/30/2007
Last updated
10/30/2007
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