Individual
JUANITA GARNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6464 SW BORLAND RD, SUITE A3, TUALATIN, OR 97062-8876
(971) 404-3366
(971) 404-3377
Mailing address
1830 BLANKENSHIP RD, SUITE 200, WEST LINN, OR 97068-4181
(503) 655-3851
(503) 655-3318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
081047119RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
081047119CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122361
—
OR
Enumeration date
07/07/2006
Last updated
09/15/2008
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