University Anesthesiology Associates LLC
Anesthesiology, Pediatric Anesthesiology in Portland, OR. Organization (NPI-2).
NPI number1295080935
StatusActive
Last updated in NPPESJul 18, 2012
Details
- NPI
- 1295080935
- Entity type
- Organization (NPI-2)
- Legal business name
- University Anesthesiology Associates LLC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2012
- Last updated
- Jul 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP3000X | Anesthesiology, Pediatric Anesthesiology | – | – | Yes |
| 207L00000X | Anesthesiology | – | – | |
| 207LC0200X | Anesthesiology, Critical Care Medicine | – | – | |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – |
Practice location
3181 Sw Sam Jackson Park RdMailcode: Sjh-2
Portland, OR 97239-3011
Phone 503-494-4910 · Fax 503-494-8368
Mailing address
Po Box 5000 Unit 65Portland, OR 97208-5000
Phone 503-494-4910 · Fax 503-494-8368
Authorized official
Jeffry Robert Kirsch
Department Chair
5034945210
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