NPIMap

Organization Active NPI

Eastmoreland Ear, Nose & Throat, Clinic, LLP

  • Otolaryngology/Facial Plastic Surgery Physician
  • Clackamas, OR
National Provider Identifier
1386754398
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
EASTMORELAND EAR, NOSE & THROAT, CLINIC, LLP
Practice address
10151 SE Sunnyside Rd Ste 240
Clackamas, OR 97015-5774
Phone
(503) 233-5548
Fax
(866) 663-1070
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
James ChanNPI 1972543106
Title
Authorized Official
Phone
(503) 233-5548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

10151 SE Sunnyside Rd Ste 240
Clackamas, OR 97015-5774

Mailing address

10151 SE Sunnyside Rd Ste 240
Clackamas, OR 97015-5774
Phone (503) 233-5548

Other names 1

  • Mt. Scott Ear, Nose and Throat Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817001428 OR Part B Supplier - Clinic/Group Practice 5799758785 Receives reassigned benefits from 16 practitioners
Practice locations: Clackamas, OR

National Provider Directory

National Provider Directory

Locations

9280 SE Sunnybrook Blvd
Ste 300
Clackamas, OR 97015
Phone (503) 233-5548

1700 Hudson St
Ste 202
Longview, WA 98632
Phone (360) 342-6700

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1386754398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 SE SUNNYSIDE RD STE 240",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155774",
            "telephone_number": "503-233-5548",
            "fax_number": "866-663-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 SE SUNNYSIDE RD STE 240",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155774",
            "telephone_number": "503-233-5548",
            "fax_number": "866-663-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTMORELAND EAR, NOSE & THROAT, CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "503-233-5548"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Scott Ear, Nose and Throat",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt. Scott Ear, Nose and Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.