OrganizationActive
Modern Nose Clinic LLC
NPI 1043874696 · Otolaryngology Physician · Salem, OR
Modern Nose Clinic LLC is a Otolaryngology Physician organization in Salem, OR (NPI 1043874696).
Provider details
- NPI number
- 1043874696
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Modern Nose Clinic LLC
- Organization subpart
- Yes
- Authorized official
- Douglas Skarada, Medical Director(503) 584-1174
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
340 Vista Ave Se Ste 100
Salem, OR 97302-4546
Phone: (503) 584-1174
Fax: (503) 584-1330
Street-level locationGet directions
Mailing address
340 Vista Ave Se Ste 100
Salem, OR 97302-4546
Other names (DBA / former)
- Former legal business name
- Modern Nose Clinic LLC
Additional practice locations (1)
- 19150 Sw 90th Ave Ste 100Tualatin, OR 97062-7624Phone: (503) 584-1174
Registry dates
- Enumerated
- 2019-04-30
- Last updated
- 2019-04-30
Frequently asked questions
- What is Modern Nose Clinic LLC's NPI number?
- Modern Nose Clinic LLC's National Provider Identifier (NPI) is 1043874696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Nose Clinic LLC?
- Modern Nose Clinic LLC is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Modern Nose Clinic LLC located?
- Modern Nose Clinic LLC's practice location on file with NPPES is 340 Vista Ave Se Ste 100, Salem, OR 97302-4546.
- What is Modern Nose Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Modern Nose Clinic LLC is (503) 584-1174.
- Who is the authorized official for Modern Nose Clinic LLC?
- The authorized official listed on Modern Nose Clinic LLC's NPPES record is Douglas Skarada, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Nose Clinic LLC's NPI active?
- Yes — Modern Nose Clinic LLC's NPI (1043874696) is active in the NPPES registry as of the last update on 2019-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.