Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mainehealth

Organization Otolaryngology Physician · NPI 1649577768

Mainehealth is an Otolaryngology Physician in Portland, Maine. Licensed in Maine. Registered with an NPI since 2011.

Licensed in
ME
In the registry since
2011
Specialties on file
4
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Practice location Address checks out

1250 Forest Ave
Portland, ME 04103
Phone: (207) 797-5753
Fax: (207) 797-9571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Audiologist Taxonomy 231H00000X
General Acute Care Hospital Taxonomy 282N00000X · Licence 37563 (ME)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1649577768
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMainehealth
Authorized official Lugene Inzana — Associate Cfo · (207) 662-3538
Other names Maine Medical Partners Otolaryngology; Maine Medical Partners Otolaryngology
NPI enumeratedFebruary 25, 2011
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address22 Bramhall St, Portland, ME 04102-3134

Other providers in Portland