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MODERN NOSE CLINIC LLC
NPI 1043874696
Otolaryngology in Salem, OR

Active since April 30, 2019
340 VISTA AVE SE STE 100, SALEM, OR 97302(503) 584-1174(503) 584-1330 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Nose Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN NOSE CLINIC LLC (NPI 1043874696) is a healthcare organization registered as an otolaryngology in Salem, Oregon and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Tualatin and lists Douglas Skarada, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043874696
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMODERN NOSE CLINIC LLC
Location Address340 VISTA AVE SE STE 100Salem, OR 97302-4546
Mailing Address340 Vista Ave Se Ste 100Salem, OR 97302-4546 · (503) 584-1174
Phone(503) 584-1174
Fax(503) 584-1330
Organization SubpartYes
Authorized OfficialDouglas SkaradaMedical Director · (503) 584-1174
Enumeration DateApril 30, 2019
✔ NPI 1043874696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
340 VISTA AVE SE STE 100, Salem, OR 97302
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Other Names 1

Former Legal Business NameModern Nose Clinic Llc

Secondary Practice Location 1

Location 119150 SW 90th Ave Ste 100Tualatin, OR 97062-7624 · Phone (503) 584-1174

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HOLLI J CHRISTENSEN AUD
Audiologist
340 VISTA AVE SE STE 100
SALEM, OR 97302
Marion County (503) 877-9966
DR. NAHMJEE LEE SKARADA D.M.D.
Dentist (General Practice)
340 VISTA AVE SE STE 100
SALEM, OR 97302
Marion County (503) 584-1174
DR. DOUGLAS SKARADA MD
Otolaryngology
340 VISTA AVE SE STE 100
SALEM, OR 97302
Marion County (503) 584-1174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Nose Clinic LLC's NPI number?

The NPI number for Modern Nose Clinic LLC is 1043874696. It was assigned to this organization in the NPPES registry on April 30, 2019.

Where is Modern Nose Clinic LLC located?

Modern Nose Clinic LLC is located at 340 Vista Ave SE Ste 100, Salem, OR 97302. The listed phone number is (503) 584-1174.

What is Modern Nose Clinic LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Modern Nose Clinic LLC was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.