Columbia Gorge Anesthesia LLC
NPI #1669819652 in The Dalles, Oregon
Provider Information
- NPI Number
- 1669819652
- Entity Type
- Organization
- Organization Name
- Columbia Gorge Anesthesia LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- May 30, 2013
- Last Updated
- Mar 4, 2014
Practice Location
- Address
- 1020 WEBBER ST
- City
- The Dalles
- State
- Oregon
- ZIP Code
- 97058-3749
- Phone
- (541) 769-0426
Authorized Official
- Name
- MR. DAVID C BULLOCK, CRNA
- Title
- PRESIDENT
- Phone
- (714) 347-1010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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