Willamette Ear Nose & Throat LLP

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WILLAMETTE EAR NOSE & THROAT LLP

Practice address

3099 River Rd S Ste 150
Salem, OR 97302-9754

Phone

(503) 581-9445

Fax

(503) 485-2590

NPI assigned

Jul 2, 2007

Last updated

Jun 17, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clark R Thompson, M.DNPI 1750386926

Title

Physician

Phone

(503) 581-1567

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clark Thompson, MD

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1750386926
  Medicare reassignment Care Compare group NPD Authorized official
• Samuel Joseph Altonji

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1194287672
  Medicare reassignment Care Compare group NPD
• Bonnie Brown

  • Otolaryngology/Facial Plastic Surgery Physician
  • Salem, OR
  • NPI 1427923127
  Medicare reassignment Care Compare group NPD
• Mindy Lynn Dimitri, AUD

  • Audiologist
  • Portland, OR
  • NPI 1962853820
  Medicare reassignment Care Compare group NPD
• John Donovan, MD

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1407850852
  Medicare reassignment Care Compare group NPD
• Allison Rene Frank, AUD

  • Audiologist
  • Salem, OR
  • NPI 1770007015
  Medicare reassignment Care Compare group NPD
• Yomiyu Gafesu

  • Student in an Organized Health Care Education/Training Program
  • Portland, OR
  • NPI 1194567545
  Medicare reassignment Care Compare group NPD
• Lindsay Humphrey

  • Audiologist
  • Albany, OR
  • NPI 1629750518
  Medicare reassignment Care Compare group NPD
• Bruce Johnson, MD

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1750386579
  Medicare reassignment Care Compare group NPD
• Stephanie McDowall, AUD

  • Audiologist
  • Salem, OR
  • NPI 1568045565
  Medicare reassignment Care Compare group NPD
• Suzanne Forman Strand, DO

  • Otolaryngology Physician
  • Salem, OR
  • NPI 1457748576

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kristen Furseth, AU.D.

  • Audiologist
  • Vancouver, WA
  • NPI 1780034637

  OR

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1184821043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 RIVER RD S STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-581-9445",
            "fax_number": "503-485-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 RIVER RD S STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-581-9445",
            "fax_number": "503-485-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE EAR NOSE & THROAT LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-581-1567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026573",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Wilkinson-Polomsky
• Emily Anne Wilkinson, MD
• Claudia Will, R.N.
• Willamette Compounding Pharmacy
• Willamette Dental Group
• Willamette Education Service District
• Willamette Education Service District
• Willamette Education Service District
• Willamette Education Service District
• Willamette Education Service District

• Specialist in Salem, OR
• Providers in Salem, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.