Individual
ROY LIBUEL MORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1500
Mailing address
PO BOX 255, BAYVIEW, ID 83803-0255
(208) 683-1178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
54123
ID
367500000X
Certified Registered Nurse Anesthetist
54123
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA10019120
OR
Other
Enumeration date
06/22/2013
Last updated
02/05/2024
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