| NPI | 1982380036 |
|---|---|
| Doing Business As | BLUE RIDGE ENT HEAD NECK SKIN CANCER |
| Doing Business As | BLUE RIDGE HEALTH |
| Entity Type | Organization |
| Authorized Contact | TRUSHNA RAO Contracted Managing Employee 503-334-1856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2024-01-30 |