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

Modern Nose Clinic LLC

Organization Otolaryngology Physician · NPI 1043874696

Modern Nose Clinic LLC is an Otolaryngology Physician in Salem, Oregon. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

340 Vista Ave SE Ste 100
Salem, OR 97302-4546
Phone: (503) 584-1174
Fax: (503) 584-1330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19150 Sw 90th Ave Ste 100, Tualatin, OR 97062-7624 — (503) 584-1174

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1043874696
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationModern Nose Clinic LLC
Authorized official Douglas Skarada — Medical Director · (503) 584-1174
Other names Modern Nose Clinic Llc
NPI enumeratedApril 30, 2019
Last updated in NPPESApril 30, 2019
Mailing address340 Vista Ave Se Ste 100, Salem, OR 97302-4546

Other providers in Salem