Southern Oregon Ear Nose & Throat P C
Southern Oregon Ear Nose & Throat P C is a Facial Plastic Surgery Physician in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2008.
- Licensed in
- OR
- In the registry since
- 2008
Practice location Address checks out
555 Black Oak Dr Ste 210Medford, OR 97504-8491
Phone: (541) 734-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Facial Plastic Surgery Physician (primary) | Taxonomy 207YS0123X · Licence MD17390 (OR) |
|---|
Record details
| NPI number | 1821274317 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cindi Boucher — Office Manager · (541) 734-3610 |
| NPI enumerated | January 14, 2008 |
| Last updated in NPPES | March 10, 2022 |
| Certification date | March 10, 2022 |
| Mailing address | 555 Black Oak Dr Ste 210, Medford, OR 97504-8491 |