Individual
MS. GWENDOLYN M KEYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE UHS-2, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 418-0884
Mailing address
4314 NE HASSALO ST, PORTLAND, OR 97213-1516
(206) 714-6840
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201060012CRNA
OR
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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