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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

NPI Number 1821153941
LBN Legal business name HEAD & NECK SURGICAL ASSOCIATES, PC
Authorized official SHANNON GRESH - (CLINIC OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2006
Last updated 05/21/2021 - About 5 years ago
Identifiers
OR Medicaid 286589
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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