Organization
EAST PORTLAND EAR NOSE AND THROAT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER J WOBIG M.D. (PARTNER)
(503) 465-5461
Entity
Organization
Contact information
Practice address
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030-3373
(503) 465-5461
(503) 465-5468
Mailing address
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030-3373
(503) 465-5461
(503) 465-5468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OR
Other
Enumeration date
12/04/2006
Last updated
07/21/2022
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