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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MODERN NOSE CLINIC LLC
NPI 1851825566
Otolaryngology in Salem, OR

Active since April 19, 2017
340 VISTA AVE SE, STE 100, SALEM, OR 97302(503) 584-1174(503) 584-1330 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, May 2, 2022, Oct 25, 2018 and 1 more (4 updates tracked since 2017).

About Modern Nose Clinic Llc NPPES

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

MODERN NOSE CLINIC LLC (NPI 1851825566) is a healthcare organization registered as an otolaryngology in Salem, Oregon and active in the NPI registry since April 2017. The organization lists Douglas J Skarada, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1851825566
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMODERN NOSE CLINIC LLC
Location Address340 VISTA AVE SE, STE 100Salem, OR 97302
Mailing Address340 Vista Ave Se, Ste 100Salem, OR 97302 · (503) 584-1174 · Fax (503) 584-1330
Phone(503) 584-1174
Fax(503) 584-1330
Organization SubpartNo
Authorized OfficialDouglas J SkaradaMedical Director · (503) 584-1174
Enumeration DateApril 19, 2017
Last NPPES UpdateJuly 20, 20264 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1851825566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OR · 23186
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, Salem, OR 97302
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Other Identifiers 1

Medicaid287190OR

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

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 1851825566. It was assigned to this organization in the NPPES registry on April 19, 2017.

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.

What insurance does Modern Nose Clinic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Modern Nose Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Nose Clinic LLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.