Organization
PORTLAND EAR NOSE & THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE S CLELAND ZAMUDIO MD (MD OWNER)
(503) 408-1323
Entity
Organization
Contact information
Practice address
10535 NE GLISAN, #350, PORTLAND, OR 97220
(503) 408-1323
(503) 408-4463
Mailing address
10535 NE GLISAN, #350, PORTLAND, OR 97220
(503) 408-1323
(503) 408-4463
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD21133
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151216
—
OR
Enumeration date
11/08/2006
Last updated
07/03/2008
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