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Organization
SAN PABLO ANESTHESIOLOGY MEDICAL CORPORATION
Active
Organization
SAN PABLO ANESTHESIOLOGY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERTON B. GOODE MD (PRESIDENT)
(503) 372-2740
Entity
Organization
Contact information
Practice address
2000 VALE RD, SAN PABLO, CA 94806-3808
(510) 970-5000
(510) 970-5761
Mailing address
8905 SW NIMBUS AVE, STE 300, BEAVERTON, OR 97008-7136
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N/A
—
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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