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Organization
PREMIER ANESTHESIA OF OREGON PC
Active
Organization
PREMIER ANESTHESIA OF OREGON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WALKER (VP FINANCE)
(678) 690-7812
Entity
Organization
Contact information
Practice address
1001 N PROVIDENCE DR, NEWBERG, OR 97132-7485
(678) 690-7816
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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