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Contact Information

HEAD & NECK SURGICAL ASSOCIATES, PC
1849 NW KEARNEY ST STE 300
PORTLAND, OR97209-1453
 Phone: 503-224-1371
 Fax: 503-224-0722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for HEAD NECK SURGICAL ASSOCIATES PC · (Female)

NPI # 1821153941
Status Active
Credentials
Entity Individual
Enumeration date 12/27/2006
Last updated 05/21/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 286589
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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