WILLAMETTE EAR NOSE & THROAT LLP (NPI# 1184821043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184821043 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE EAR NOSE & THROAT LLP |
| Practice Address |
3099 River Rd S Ste 150 Salem OR 97302-9754 |
| Practice Telephone | 5035819445 |
| Practice Fax Number | 5034852590 |
| Mailing Telephone | 5035819445 |
| Mailing Fax Number | 5034852590 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | MR. CLARK R THOMPSON (PHYSICIAN) |
| Authorized Official Telephone | 5035811567 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 026573 | 05 |
| Street Address |
3099 RIVER RD S STE 150 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-9754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124361035 | Tina Haskins | Speech-Language Pathologist | 3099 River Rd S Ste 150, Salem, OR 97302-9754 | 2013-03-28 |
| 1013278654 | Jared Hiebert | Otolaryngology | 3099 River Rd S Ste 150, Salem, OR 97302-9754 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265970495 | Deanna Lauren Carter | Specialist | 9 Muse Ter, Salem, NH 03079-2921 | 2017-02-08 |
| 1043763980 | Michael Tre Cline Jr. | Specialist | 1505 Whitaker Dr Se, #201, Salem, OR 97317-5912 | 2016-07-27 |
| 1508213604 | Amy Masters | Specialist | 23190 Zieber Ln Nw, Salem, OR 97304-9631 | 2016-05-18 |
| 1417326398 | Lisa K Breslin | Specialist | 27 Congress St Ste 203, Salem, MA 01970-5576 | 2015-09-21 |
| 1588048656 | Carl Bettencourt | Specialist | 67 Wharf St, Salem, MA 01970-5116 | 2015-07-17 |
| 1689066250 | Maxine Trujillo | Specialist | 191 Mcnary Ave Nw, Salem, OR 97304-4037 | 2015-02-19 |
| 1619379633 | Wanda Getz | Specialist | 4275 Commercial St Se, Salem, OR 97302-4086 | 2014-09-22 |
| 1255753174 | Janette Toll | Specialist | 1898 Court St Ne, Salem, OR 97301-4328 | 2014-01-12 |
| 1912333741 | Melanie A Ground | Specialist | 1967 Brightwood Ct S, Salem, OR 97302-2405 | 2013-09-25 |
| 1245662410 | Kenneth M. Wilson, M.d., P.C. | Specialist | 700 Bellevue St Se Ste 260, Salem, OR 97301-3888 | 2013-07-30 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.