Palouse ENT, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

602692894 Issued in WA

Legal business name

PALOUSE ENT, LLC

Practice address

825 SE Bishop Blvd Ste 130
Pullman, WA 99163-5517

Phone

(509) 334-5876

Fax

(509) 332-8793

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne Miller

Title

Office Manager

Phone

(509) 334-5876

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1346377249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 601",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-334-5876",
            "fax_number": "509-332-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 130",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-334-5876",
            "fax_number": "509-332-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-334-5876",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "602692894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damola Bolutife Olawuyi, MD
• Zachary Orem
• David Osborne, ATC, LMP
• Michael Joseph Osterholt, MD
• Carol A Owings, RN
• Palouse Foot & Ankle Clinic PS
• Palouse Medical PS
• Palouse Pediatrics, PLLC
• Palouse Psychiatry and Behavioral Health
• Palouse Recovery Center LLC

• Otolaryngology Physician in Pullman, WA
• Providers in Pullman, WA by specialty
• Otolaryngology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.