{"npi":"1215150313","type":"NPI-2","status":"active","name":{"display":"Lower Columbia Head & Neck Associates PC","other":[],"organization_name":"LOWER COLUMBIA HEAD & NECK ASSOCIATES PC","authorised_official":"Alexander Ierokomos"},"specialty":{"primary_taxonomy":"204E00000X","primary_taxonomy_description":"Oral & Maxillofacial Surgery (D.M.D.)","slug":"oral-maxillofacial-surgery-d-m-d","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":false,"state":"WA","license":"MD00022010"},{"code":"207YP0228X","description":"Pediatric Otolaryngology Physician","primary":false,"state":"WA","license":"MD00022010"},{"code":"207YS0012X","description":"Sleep Medicine (Otolaryngology) Physician","primary":false,"state":"WA","license":"MD00022010"},{"code":"207YX0007X","description":"Plastic Surgery within the Head & Neck (Otolaryngology) Physician","primary":false,"state":"WA","license":"MD00022010"},{"code":"207YX0602X","description":"Otolaryngic Allergy Physician","primary":false,"state":"WA","license":"MD00022010"},{"code":"207YX0905X","description":"Otolaryngology/Facial Plastic Surgery Physician","primary":false,"state":"WA","license":"MD00022010"},{"code":"204E00000X","description":"Oral & Maxillofacial Surgery (D.M.D.)","primary":true,"state":"WA","license":"MD00022010"}]},"addresses":[{"purpose":"LOCATION","street_1":"820 11TH AVE","city":"LONGVIEW","state":"WA","postal_code":"986322072","country_code":"US","phone":"3604230960","fax":"3604238902"},{"purpose":"MAILING","street_1":"820 11TH AVE","city":"LONGVIEW","state":"WA","postal_code":"986322072","country_code":"US","phone":"3604230960","fax":"3604238902"}],"license":{"state":"WA","number":"MD00022010"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"7032030","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"60170","state":"WA","issuer":"L&I"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-10","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}