Columbia Gorge Anesthesia LLC
Nurse Anesthetist, Certified Registered in The Dalles, OR. Organization (NPI-2).
NPI number1669819652
StatusActive
Last updated in NPPESMar 4, 2014
Details
- NPI
- 1669819652
- Entity type
- Organization (NPI-2)
- Legal business name
- Columbia Gorge Anesthesia LLC
- Organization subpart
- No
- Enumeration date
- May 30, 2013
- Last updated
- Mar 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 200860006CRNA | OR | Yes |
Practice location
1020 Webber StThe Dalles, OR 97058-3749
Phone 541-769-0426 · Fax 541-769-0431
Mailing address
210 N Tustin AveSanta Ana, CA 92705-3807
Phone 714-347-1010 · Fax 714-647-1245
Authorized official
David C Bullock
President
7143471010
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Other Certified Registered Nurse Anesthetist providers in The Dalles, OR
- Nicole M Campbell, CRNANPI 1154651925
- Mark S ChambersNPI 1598323859
- Maura Frith, CRNANPI 1124429691
- Gorge Anesthesia Services, LLCNPI 1831469386
- Randall Thomas Stewart, CRNANPI 1407834633
All 6 Certified Registered Nurse Anesthetist providers in The Dalles · All 899 providers in The Dalles
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