Organization
PORTLAND EAR, NOSE & THROAT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENARO ZAMUDIO (OFFICE MANAGER)
(503) 408-1323
Entity
Organization
Contact information
Practice address
501 N GRAHAM ST, SUITE 455, PORTLAND, OR 97227-1654
(503) 408-1323
(503) 408-4463
Mailing address
501 N GRAHAM ST, SUITE 455, PORTLAND, OR 97227-1654
(503) 408-1323
(503) 408-4463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M. D. 21133
OR
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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