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Lake Grove Ent Pc
Otolaryngology Physician in Lake Oswego, Oregon
NPI 1043211824

Lake Grove Ent Pc is a Otolaryngology Physician based in Lake Oswego, OR. Lake Grove Ent Pc practices in Lake Oswego, OR. The NPI Number for Lake Grove Ent Pc is 1043211824 and holds a License No. (Oregon).

The current practice location address for Lake Grove Ent Pc is 17704 Jean Way, Lake Oswego, OR and can be reached out via phone at 503-699-0370 and via fax at 971-236-9099.

Location: 17704 Jean Way, Lake Oswego, OR, 97035-5497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043211824
Provider Name
Lake Grove Ent Pc
Credential
Provider Entity Type
Organization
Address
17704 Jean Way, Lake Oswego, OR, 97035-5497
Phone Number
503-699-0370
Fax Number
971-236-9099
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005809 05 OR
institution
Provider Business Practice Location Address Details
Address
17704 Jean Way
City
Lake Oswego
State
Oregon
Zip
97035-5497
Phone Number
503-699-0370
Fax Number
971-236-9099
person
Provider Business Mailing Address Details
Address
17704 Jean Way
City
Lake Oswego
State
Oregon
Zip
97035-5497
Phone Number
503-699-0370
Fax Number
971-236-9099
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
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Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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97035-5497
503-699-0370
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