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Robert S Myrick, CRNA

Nurse Anesthetist, Certified Registered in Clackamas, OR. Individual provider (NPI-1).

NPI number1619089919
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1619089919
Entity type
Individual (NPI-1)
Name
Mr. Robert S Myrick
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredOR 084054633CRNAORYes

Practice location

10180 Se Sunnyside Rd
Clackamas, OR 97015-8970

Phone 503-652-2880

Mailing address

3110 Se Concord Rd
Portland, OR 97267-4606

Phone 503-654-1452

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