LOWER COLUMBIA HEAD & NECK ASSOCIATES PC; NPI #1215150313

Contact Information

LOWER COLUMBIA HEAD & NECK ASSOCIATES PC

820 11TH AVE
LONGVIEW, WA 98632-2072

Phone: 360-423-0960
Fax: 360-423-8902
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery
Otolaryngic Allergy	207YX0602X	04	Physician/Otolaryngology
Otolaryngology	207Y00000X	04	Physician/Otolaryngology
Otolaryngology/Facial Plastic Surgery	207YX0905X	04	Physician/Otolaryngology
Pediatric Otolaryngology	207YP0228X	04	Physician/Otolaryngology
Plastic Surgery within the Head & Neck	207YX0007X	04	Physician/Otolaryngology
Sleep Medicine	207YS0012X	04	Physician/Otolaryngology

Indicates primary specialty

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NPI Profile & details for LOWER COLUMBIA HEAD & NECK ASSOCIATES PC

NPI # 1215150313

LBN Legal business name LOWER COLUMBIA HEAD & NECK ASSOCIATES PC

Authorized official ALEXANDER IEROKOMOS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/10/2007

Last updated 09/11/2025 - About 9 months ago

Identifiers

WA	License #	MD00022010
WA	Medicaid	7032030
WA	Other	60170	L&I

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LOWER COLUMBIA HEAD & NECK ASSOCIATES PC

Contact Information

Specialty

Oral & Maxillofacial Surgery

Otolaryngic Allergy

Otolaryngology

Otolaryngology/Facial Plastic Surgery

Pediatric Otolaryngology

Plastic Surgery within the Head & Neck

Sleep Medicine

NPI Profile & details for LOWER COLUMBIA HEAD & NECK ASSOCIATES PC

Reviews for LOWER COLUMBIA HEAD & NECK ASSOCIATES PC