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COLUMBIA GORGE ENT, LLC
NPI 1427056324
Otolaryngology in The Dalles, OR

Active since July 13, 2005
1815 E 19TH ST, SUITE 1, THE DALLES, OR 97058(541) 298-5563(541) 298-7746 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Columbia Gorge Ent, Llc NPPES

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

COLUMBIA GORGE ENT, LLC (NPI 1427056324) is a healthcare organization registered as an otolaryngology in The Dalles, Oregon and active in the NPI registry since July 2005. The organization lists Charles R Ford, Owner, as its authorized official.

NPPES Registry Identity

NPI1427056324
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCOLUMBIA GORGE ENT, LLC
Location Address1815 E 19TH ST, SUITE 1The Dalles, OR 97058-3365
Mailing Address1815 E 19th St, Suite 1The Dalles, OR 97058-3365 · (541) 298-5563 · Fax (541) 298-7746
Phone(541) 298-5563
Fax(541) 298-7746
Organization SubpartNo
Authorized OfficialCharles R FordOwner · (541) 298-5563
Enumeration DateJuly 13, 2005
Last NPPES UpdateAugust 23, 2007
✔ NPI 1427056324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OR · MD10654
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.
1815 E 19TH ST, The Dalles, OR 97058
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Other Identifiers 5

Medicare UPINC92640OR
Medicaid022888OR
OtherDB9629OR · Railroad Medicare
Medicaid7124860WA
Medicare PIN120373OR

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 5

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

JAMES PATRICK PETRUSICH DOCTOR OF AUDIOLOGY
Audiologist
1815 E 19TH ST, SUITE 1
THE DALLES, OR 97058
Wasco County (541) 298-8676
PROVIDENCE HEALTH & SERVICES - OREGON
Otolaryngology
1815 E 19TH ST, SUITE 1
THE DALLES, OR 97058
Wasco County (541) 298-5563
MR. JAMES L FERRER
Hearing Instrument Specialist
1815 E 19TH ST
THE DALLES, OR 97058
Wasco County (541) 298-8676
DR. CHARLES R FORD MD
Otolaryngology
1815 E 19TH ST, SUITE 1
THE DALLES, OR 97058
Wasco County (541) 298-5563
MATTHEW DAVID PROCTOR MD
Otolaryngology
1815 E 19TH ST, STE 1
THE DALLES, OR 97058
Wasco County (541) 298-5563

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 Columbia Gorge Ent, LLC's NPI number?

The NPI number for Columbia Gorge Ent, LLC is 1427056324. It was assigned to this organization in the NPPES registry on July 13, 2005.

Where is Columbia Gorge Ent, LLC located?

Columbia Gorge Ent, LLC is located at 1815 E 19th St Suite 1, The Dalles, OR 97058. The listed phone number is (541) 298-5563.

What is Columbia Gorge Ent, 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 Columbia Gorge Ent, LLC was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.