Individual
JOHN MICHAEL UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1253 NW CANAL BLVD, REDMOND, OR 97756-1334
(541) 548-8131
(541) 516-3877
Mailing address
PO BOX 6096, BEND, OR 97708-6096
(541) 548-8131
(541) 516-3877
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200860002CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
RN083995
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185456
—
AZ
05
—
500608091
—
OR
Enumeration date
07/28/2006
Last updated
10/11/2013
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