LAKE GROVE ENT PC

LAKE OSWEGO, OR
NPI1043211824
Entity TypeOrganization
Authorized ContactCHERYL LEE KRUSE
Clinic Manager
503-699-0370
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
Enumeration Date2005-08-03
Last Update Date2022-04-04
Business Address
LAKE GROVE ENT PC
17704 JEAN WAY STE 101
LAKE OSWEGO, OR 97035-5497
Phone number: 503-699-0370
Mailing Address
LAKE GROVE ENT PC
17704 JEAN WAY STE 101
LAKE OSWEGO, OR 97035-5497
Phone number: 503-699-0370
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