Southern Oregon Ear Nose & Throat P C
NPI 1821274317 · Facial Plastic Surgery Physician · Medford, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Oregon Ear Nose & Throat P C is a Facial Plastic Surgery Physician organization in Medford, OR (NPI 1821274317).
Provider details
- NPI number
- 1821274317
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cindi Boucher, Office Manager(541) 734-3610
- License
- MD17390 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2008-01-14
- Last updated
- 2022-03-10
- Certified
- 2022-03-10
Frequently asked questions
- What is Southern Oregon Ear Nose & Throat P C's NPI number?
- Southern Oregon Ear Nose & Throat P C's National Provider Identifier (NPI) is 1821274317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Oregon Ear Nose & Throat P C?
- Southern Oregon Ear Nose & Throat P C is classified in the NPPES registry as Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Oregon Ear Nose & Throat P C located?
- Southern Oregon Ear Nose & Throat P C's practice location on file with NPPES is 555 Black Oak Dr Ste 210, Medford, OR 97504-8491.
- What is Southern Oregon Ear Nose & Throat P C's phone number?
- The practice phone number listed in the NPPES registry for Southern Oregon Ear Nose & Throat P C is (541) 734-3540.
- Does Southern Oregon Ear Nose & Throat P C accept Medicare?
- Southern Oregon Ear Nose & Throat P C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Oregon Ear Nose & Throat P C?
- The authorized official listed on Southern Oregon Ear Nose & Throat P C's NPPES record is Cindi Boucher, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Oregon Ear Nose & Throat P C's NPI active?
- Yes — Southern Oregon Ear Nose & Throat P C's NPI (1821274317) is active in the NPPES registry as of the last update on 2022-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.