Head & Neck Surgical Associates, Pc
LBN: Head & Neck Surgical Associates, Pc
Head & Neck Surgical Associates, Pc is an health care organization with primary practice located at 1849 Nw Kearney St Ste 300 , Portland OR 97209-1453. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty.
Head & Neck Surgical Associates, Pc can be contacted via phone (503) 224-1371, or through Gresh, Shannon via phone (503) 224-1371.
Contact Information
Primary practice address
1849 Nw Kearney St Ste 300
Portland OR 97209-1453
Phone: (503) 224-1371
Fax: (503) 224-0722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | Oregon | |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | Oregon |
Profile Details
| NPI number | 1821153941 |
|---|---|
| LBN Legal business name | Head & Neck Surgical Associates, Pc |
| DBA Doing business as | |
| Authorized official | Gresh, Shannon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | May 21st, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821153941 | NPPES |
| Oregon | MEDICAID | 286589 |
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