EAST PORTLAND EAR NOSE AND THROAT CLINIC
NPI 1730257940
Specialist in Gresham, OR

Active since December 04, 2006
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030(503) 465-5461(503) 465-5468 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About East Portland Ear Nose And Throat Clinic NPPES

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

EAST PORTLAND EAR NOSE AND THROAT CLINIC (NPI 1730257940) is a healthcare organization registered as a specialist in Gresham, Oregon and active in the NPI registry since December 2006. The organization lists Roger J Wobig, Partner, as its authorized official.

NPPES Registry Identity

NPI1730257940
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAST PORTLAND EAR NOSE AND THROAT CLINIC
Location Address24076 SE STARK ST, SUITE 230Gresham, OR 97030-3373
Mailing Address24076 Se Stark St, Suite 230Gresham, OR 97030-3373 · (503) 465-5461 · Fax (503) 465-5468
Fax(503) 465-5468
Organization SubpartNo
Authorized OfficialRoger J WobigPartner · (503) 465-5461
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1730257940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
24076 SE STARK ST, Gresham, OR 97030

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 20

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

Clinic/Center (Ambulatory Surgical)
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Specialist
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Physical Therapist
24076 SE STARK ST
GRESHAM, OR 97030
Pharmacy (Community/Retail Pharmacy)
24076 SE STARK ST, SUITE 100
GRESHAM, OR 97030
Physiological Laboratory
24076 SE STARK ST, SUITE 180
GRESHAM, OR 97030
Otolaryngology
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Physician Assistant
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Anesthesiology (Pain Medicine)
24076 SE STARK ST, SUITE 320
GRESHAM, OR 97030

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 East Portland Ear Nose And Throat Clinic's NPI number?

The NPI number for East Portland Ear Nose And Throat Clinic is 1730257940. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is East Portland Ear Nose And Throat Clinic located?

East Portland Ear Nose And Throat Clinic is located at 24076 SE Stark St Suite 230, Gresham, OR 97030. The listed phone number is (503) 465-5461.

What is East Portland Ear Nose And Throat Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for East Portland Ear Nose And Throat Clinic was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.