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1184214462
EAR NOSE AND THROAT NORTHWEST LLC
SALEM, OR
NPI
1184214462
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Entity Type
Organization
Authorized Contact
JARED HIEBERT
Owner
503-383-8493
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
EAR NOSE AND THROAT NORTHWEST LLC
2025 MADRONA AVE SE
SALEM, OR 97302-1149
Phone number: 503-383-8493
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Mailing Address
EAR NOSE AND THROAT NORTHWEST LLC
1532 WEBSTER DR SE
SALEM, OR 97302-6405
Phone number:
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