Provider Demographics
NPI:1669547675
Name:FLAIZ, RICHARD ALLAN (MD FACS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALLAN
Last Name:FLAIZ
Suffix:
Gender:M
Credentials:MD FACS
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Mailing Address - Street 1:600 NW 11TH ST
Mailing Address - Street 2:SUITE E 21
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838
Mailing Address - Country:US
Mailing Address - Phone:541-567-2270
Mailing Address - Fax:541-567-4153
Practice Address - Street 1:600 NW 11TH ST
Practice Address - Street 2:SUITE E 21
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838
Practice Address - Country:US
Practice Address - Phone:541-567-2270
Practice Address - Fax:541-567-4153
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
ORMD12591207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR012448Medicaid
OR098367000OtherBC BS
ORBF0884735OtherDEA
OR0000BKBMQMedicare ID - Type Unspecified
OR098367000OtherBC BS