ENT FACIAL PLASTIC AND LASER CENTER, INC


Address: 600 Nw 11th St Ste E21, Hermiston, OR 97838-8603
Phone: 5415672270

ENT FACIAL PLASTIC AND LASER CENTER, INC (NPI# 1447677059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447677059
Entity Type Organization
Organization Name ENT FACIAL PLASTIC AND LASER CENTER, INC
Practice Address 600 Nw 11th St Ste E21
Hermiston
OR 97838-8603
Practice Telephone 5415672270
Mailing Telephone 5415672270
Enumeration Date 2014-03-20
Last Update Date 2014-03-20
Authorized Official Name RICHARD A FLAIZ (OWNER)
Authorized Official Telephone 5415672270
Authorized Official Credential MC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
12591 OR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 012448 05

Office Location

Street Address 600 NW 11TH ST STE E21
City HERMISTON
State OR
Zip Code 97838-8603

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275169096 Aaron Nelson Fitzcharles I Pharmacist Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 2020-03-13
1558921494 Hermiston Neck Back and Accident Speacialist Chiropractor 1055 S Hwy 395, Hermiston, OR 97838 2019-06-13
1598211997 Maria Faaeteete Registered Nurse 600 Nw 11th St. Suite E15, Hermiston, OR 97838 2016-08-26
1013362649 Bianka Nydia Munoz Chiropractor 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 2016-05-02
1801280896 Sarah Harris Counselor 595 N.w. 11th Street, Hermiston, OR 97838 2015-03-27
1447677612 Darren M Ernst Nurse Anesthetist, Certified Registered 610 Nw 11th St., Hermiston, OR 97838 2014-03-25
1558704460 Torrie A Griggs Specialist 225 N 1st Street, Hermiston, OR 97838 2013-04-10
1356691869 Carol Louise Johnson Counselor 331 Southeast 2nd Street, Pendleton, OR 97838 2012-09-12
1568717817 Devin L Christensen Massage Therapist 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 2012-07-23
1275895310 Lina Isabel Castillo Pediatrics 600 Nw11th Street, Suite E33, Hermiston, OR 97838 2012-06-14
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1396252177 Rising Heart Healing Clinic/Center 492 E 13th Ave Ste 208, Eugene, OR 97401-4268 2018-01-03
1417316191 Ronald Guiley Od, Mph, PC Clinic/Center 63455 N Hwy 97, Ste 75, Bend, OR 97703 2016-02-23
1932566320 Dr Steven Clark and Associates, LLC Clinic/Center 697 Nw Division St, Gresham, OR 97030-5424 2016-01-15
1174907638 Bridgeton Chiropractic, LLC Clinic/Center 10350 N Vancouver Way # 92, Portland, OR 97217-7530 2015-07-15
1356745301 Deschutes Health LLC Clinic/Center 612 Ne Savannah Dr, Suite 1, Bend, OR 97701-4874 2014-10-20
1154661163 Sundara Acupuncture LLC Clinic/Center 17175 Sw Lisa St, Beaverton, OR 97006-4185 2013-02-28
1053659938 Dedicated Sleep, LLC Clinic/Center 21260 S Springwater Rd, Estacada, OR 97023-9650 2013-01-28
1912241746 Portland Preventive Cardiology LLC Clinic/Center 8855 Sw Canyon Ln, Portland, OR 97225-3411 2012-11-16
1285988444 Md Squared Clinic/Center 22400 Salamo Rd Ste 201, West Linn, OR 97068-8269 2012-11-08
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Competitor

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City HERMISTON
Zip Code 97838

Improve Information

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Dataset Information

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.

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