# CORVALLIS ANESTHESIA, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629315536
- **Authorized official:** DIANE M KRUEGER MD (PRESIDENT)
- **Authorized official phone:** (541) 213-7369

## Contact information

- **Practice address:** 3509 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-3893
- **Practice address phone:** (541) 768-4260
- **Mailing address:** PO BOX 84741, MS 316006, SEATTLE, WA 98124-6041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2013
- **Last updated:** 01/24/2013