Organization Name: | EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WES |
NPI Number: | 1346493806 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY A BECKER (PRESIDENT) |
Mailing Address: | 1427 Jefferson Ave Enumclaw |
State: | WA US |
Postal Code: | 980223613 |
Phone Number: | 3608254466 |
Fax Number: | 3608252064 |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 05/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | OP00001317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |