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Southern Oregon Ear Nose & Throat P C

Facial Plastic Surgery Physician in Medford, OR · enumerated 2008 · authorized official Cindi Boucher, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821274317

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Oregon Ear Nose & Throat P C
Practice address 555 Black Oak Dr Ste 210, Medford, OR, 97504
Enumeration date Jan 14, 2008
Last updated in NPPES Mar 10, 2022

Taxonomy & classification

207YS0123X Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians · License MD17390 (OR) Primary

Authorized official

Name Cindi Boucher
Title Office Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-03-10. Verify at npiregistry.cms.hhs.gov.
Where is Southern Oregon Ear Nose & Throat P C located?
The practice location on file with NPPES is in Medford, OR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-10.