Modern Nose Clinic

LBN: Modern Nose Clinic Llc
Modern Nose Clinic is an health care organization with primary practice located at 340 Vista Ave Se Ste 100, Salem OR 97302. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Modern Nose Clinic Llc can be contacted via phone (503) 584-1174, or through Skarada, Douglas J via phone (503) 584-1174.

Contact Information

Primary practice address
340 Vista Ave Se Ste 100 Salem OR 97302
Phone: (503) 584-1174
Fax: (503) 584-1330
Website:
Map and Directions
Authorized official contact:
Name: Skarada, Douglas J Doctor of Medicine (MD)
Phone: (503) 584-1174

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 23186 Oregon
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1851825566
LBN Legal business name Modern Nose Clinic Llc
DBA Doing business as Modern Nose Clinic
Authorized official Skarada, Douglas J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2017
Last updated May 2nd, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851825566 NPPES
Oregon MEDICAID 287190

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