EASTMORELAND EAR, NOSE & THROAT, CLINIC, LLP (NPI# 1386754398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386754398 |
| Entity Type | Organization |
| Organization Name | EASTMORELAND EAR, NOSE & THROAT, CLINIC, LLP |
| Other Organization Name | MT. SCOTT EAR, NOSE AND THROAT |
| Practice Address |
9200 Se 91st Ave Suite 200 Portland OR 97266-6756 |
| Practice Telephone | 5032335548 |
| Practice Fax Number | 5032301009 |
| Mailing Telephone | 5032335548 |
| Mailing Fax Number | 5032301009 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-11-09 |
| Authorized Official Name | DR. ROBERT LEE ROBERTS (MANAGING PARTNER) |
| Authorized Official Telephone | 5032335548 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mt. Scott Ear, Nose and Throat | Doing Business As Name - Organization |
| Street Address |
9200 SE 91ST AVE SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891119947 | Haruka Swendsen Snow | Surgery | 9200 Se 91st Ave, Suite 320, Portland, OR 97086-3756 | 2014-02-10 |
| 1841629664 | Radiology Specialists of Portland, LLC | Radiology | 9200 Se 91st Ave, Suite 330, Portland, OR 97086-3756 | 2013-11-02 |
| 1861649675 | Mt. Scott Sleep Medicine, Inc. | Clinic/Center | 9200 Se 91st Ave, Suite 240, Portland, OR 97086-3756 | 2008-08-22 |
| 1114106192 | Jordi X Kellogg Md PC | Neurological Surgery | 9200 Se 91st Ave, Suite 340, Portland, OR 97086-3756 | 2007-10-26 |
| 1689891210 | Chloe Anne Sandquist | Surgery | 9200 Se 91st Ave, Suite 320, Portland, OR 97086-3756 | 2007-04-18 |
| 1033236724 | Stephanie Rufener | Radiology | 9200 Se 91st Ave, Suite 330, Portland, OR 97086-3756 | 2007-03-26 |
| 1609914605 | Portland Surgical Specialists, PC | Surgery | 9200 Se 91st Ave, #320, Portland, OR 97086 | 2007-02-02 |
| 1952459190 | A P Aversano | Psychiatry & Neurology | 9200 Se 91st Ave, Portland, OR 97266-6756 | 2007-01-06 |
| 1629168646 | John Stephen Domreis | Surgery | 9200 Se 91st Ave, 320, Portland, OR 97086-6756 | 2006-10-13 |
| 1730274168 | Thomas Richard Eubanks | Surgery | 9200 Se 91st Ave, Ste 320, Portland, OR 97086-6756 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648323 | William Maxwell | Otolaryngology | 43 Baxter Blvd, Portland, ME 04101-1823 | 2005-12-05 |
| 1134461478 | Deniz Gerecci | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2013-03-25 |
| 1093944258 | Christina Marie Mimikos | Otolaryngology | 1250 Forest Ave Ste 301, Portland, ME 04103 | 2009-07-09 |
| 1184810400 | Head and Neck Surgical Associates | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2007-09-20 |
| 1184684599 | Head and Neck Surgical Associates, Pa | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2006-03-28 |
| 1174511158 | Christopher B Murry | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841498300 | Richard K Huffaker | Otolaryngology | 1600 Nw Sixth Street, Grants Pass, OR 97526-1064 | 2007-07-06 |
| 1487679700 | Mark Stephen Robertson | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2006-07-13 |
| 1366572158 | Ear Nose and Throat Associates of Grants Pass PC | Otolaryngology | 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094 | 2007-03-07 |
| 1205975588 | Mark S. Robertson, P.C. | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2007-02-05 |
| 1699855437 | Dana Sainsbury Smith | Otolaryngology | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-10-16 |
| 1649280371 | Robert Lee Roberts | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-08-08 |
| 1972543106 | James Chan | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-06-07 |
Please comment or provide details below to improve the information on EASTMORELAND EAR, NOSE & THROAT, CLINIC, LLP.
| 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.