Individual
KEITH ROBERT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527
(541) 472-7000
Mailing address
2620 EAST BARNETT RD, SUITE H, MEDFORD, OR 97504
(541) 789-5250
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
89000337RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
200460004CRNA
OR
Other
Enumeration date
12/23/2005
Last updated
03/22/2013
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