Organization
PDX ENT AND AUDIOLOGY MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXWELL C FURR MD (PRESIDENT)
(503) 222-3638
Entity
Organization
Contact information
Practice address
2222 NW LOVEJOY ST, 607, PORTLAND, OR 97210-3033
(503) 222-3638
(503) 223-5139
Mailing address
2222 NW LOVEJOY ST, 607, PORTLAND, OR 97210-3033
(503) 222-3638
(503) 223-5139
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500647076
—
OR
Enumeration date
03/01/2016
Last updated
07/09/2024
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