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

Modern Nose Clinic LLC

Organization Otolaryngology Physician · NPI 1851825566

Modern Nose Clinic LLC is an Otolaryngology Physician in Salem, Oregon. Works from 4 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 Vista Ave SE Ste 100
Salem, OR 97302
Phone: (503) 584-1174
Fax: (503) 584-1330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 19150 Sw 90th Ave, Tualatin, OR 97062-7624 — (503) 584-1174
  • 12402 Se 38th St Ste 201, Bellevue, WA 98006-1214 — (425) 656-4200
  • 12402 Se 38th St Ste 202, Bellevue, WA 98006-1214 — (425) 656-4200

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Otolaryngology Physician Taxonomy 207Y00000X · Licence 23186 (OR)

Record details

NPI number1851825566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Skarada — Medical Director · (503) 584-1174
Other names Modern Nose Clinic
NPI enumeratedApril 19, 2017
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address340 Vista Ave Se, Ste 100, Salem, OR 97302

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