Lake Grove ENT PC
Lake Grove ENT PC is an Otolaryngology Physician in Lake Oswego, Oregon. Registered with an NPI since 2005.
- In the registry since
- 2005
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17704 Jean Way Ste 101Lake Oswego, OR 97035-5497
Phone: (503) 699-0370
Fax: (971) 236-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X |
|---|
Record details
| NPI number | 1043211824 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cheryl Kruse — Clinic Manager · (503) 699-0370 |
| NPI enumerated | August 3, 2005 |
| Last updated in NPPES | April 4, 2022 |
| Certification date | April 4, 2022 |
| Mailing address | 17704 Jean Way, Ste 101, Lake Oswego, OR 97035-5497 |
Other providers in Lake Oswego
-
Derek S. Lipman MD Ltd
17704 Jean Way Ste 105, Lake Oswego, OR 97035-5497 · (503) 675-6776
-
Robert H Furman, MD
17704 Jean Way Ste 101, Lake Oswego, OR 97035-5497 · (503) 699-0370
-
Derek Spencer Lipman, MD, LTD
17704 Jean Way Ste 105, Lake Oswego, OR 97035-5497 · (503) 675-6776
-
Erika Elizabeth Schettler Huberty, MD
17704 Jean Way Ste 101, Lake Oswego, OR 97035 · (503) 699-0370