Organization Active NPI

Marylhurst Ear, Nose, Throat, Head & Neck Surgery

  • Medical Specialty Clinic/Center
  • West Linn, OR
National Provider Identifier
1932325511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MARYLHURST EAR, NOSE, THROAT, HEAD & NECK SURGERY
Practice address
18380 Willamette Dr
Suite 201
West Linn, OR 97068-1200
Phone
(503) 636-6887
Fax
(503) 699-0303
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Franklin Steele Coale, M.D.
Title
Owner
Phone
(503) 636-6887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OR Primary

Addresses

Primary practice location

18380 Willamette Dr
Suite 201
West Linn, OR 97068-1200

Mailing address

18380 Willamette Dr
Suite 201
West Linn, OR 97068-1200
Phone (503) 636-6887

Other identifiers 1

IdentifierTypeStateIssuer
137856MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932325511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18380 WILLAMETTE DR",
            "address_2": "SUITE 201",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681200",
            "telephone_number": "503-636-6887",
            "fax_number": "503-699-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18380 WILLAMETTE DR",
            "address_2": "SUITE 201",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970681200",
            "telephone_number": "503-636-6887",
            "fax_number": "503-699-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLHURST EAR, NOSE, THROAT, HEAD & NECK SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COALE",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "STEELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-636-6887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137856",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.