Organization
MT. HOOD EAR, NOSE & THROAT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYK WAYNE BARLOW MD (PHYSICIAN)
(503) 257-3204
Entity
Organization
Contact information
Practice address
10202 E BURNSIDE ST, SUITE 1, PORTLAND, OR 97216-2732
(503) 257-3204
(503) 255-7208
Mailing address
10202 E BURNSIDE ST, SUITE 1, PORTLAND, OR 97216-2732
(503) 257-3204
(503) 255-7208
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241870
—
OR
Enumeration date
07/12/2006
Last updated
06/26/2015
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