SOUTHERN OREGON EAR NOSE & THROAT P C
NPI 1821274317
Otolaryngology - Facial Plastic Surgery in Medford, OR

Q: What is Southern Oregon Ear Nose & Throat P C's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Active since January 14, 2008

555 BLACK OAK DR STE 210, MEDFORD, OR 97504(541) 734-3540 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2022, Mar 26, 2017 (2 updates tracked since 2017).

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About Southern Oregon Ear Nose & Throat P C NPPES

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

SOUTHERN OREGON EAR NOSE & THROAT P C (NPI 1821274317) is a healthcare organization registered as a facial plastic surgery in Medford, Oregon and active in the NPI registry since January 2008. The organization lists Cindi S Boucher, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821274317

Entity TypeOrganization

Primary Taxonomy207YS0123X

Legal Business NameSOUTHERN OREGON EAR NOSE & THROAT P C

Location Address555 BLACK OAK DR STE 210Medford, OR 97504-8491

Mailing Address555 Black Oak Dr Ste 210Medford, OR 97504-8491 · (541) 734-3540

Phone(541) 734-3540

Organization SubpartNo

Authorized OfficialCindi S BoucherOffice Manager · (541) 734-3610

Enumeration DateJanuary 14, 2008

Last NPPES UpdateMarch 10, 20222 updates tracked since enumeration

NPPES CertifiedMarch 10, 2022

✔ NPI 1821274317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

License✔ Licensed in OR · MD17390

Definition

An otolaryngologist who specializes in facial plastic surgery.

555 BLACK OAK DR STE 210, Medford, OR 97504

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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

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 Southern Oregon Ear Nose & Throat P C's NPI number?

The NPI number for Southern Oregon Ear Nose & Throat P C is 1821274317. It was assigned to this organization in the NPPES registry on January 14, 2008.

Where is Southern Oregon Ear Nose & Throat P C located?

Southern Oregon Ear Nose & Throat P C is located at 555 Black Oak Dr Ste 210, Medford, OR 97504. The listed phone number is (541) 734-3540.

What is Southern Oregon Ear Nose & Throat P C's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Southern Oregon Ear Nose & Throat P C was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.