Corvallis Anesthesia, PC
Anesthesiology in Corvallis, OR. Organization (NPI-2).
NPI number1629315536
StatusActive
Last updated in NPPESJan 24, 2013
Details
- NPI
- 1629315536
- Entity type
- Organization (NPI-2)
- Legal business name
- Corvallis Anesthesia, PC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2013
- Last updated
- Jan 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
3509 Nw Samaritan Dr Ste 201Corvallis, OR 97330-3893
Phone 541-768-4260
Mailing address
Po Box 84741Ms 316006
Seattle, WA 98124-6041
Authorized official
Diane M Krueger
President
5412137369
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