Individual
DR. MEGHAN ELISHEVA MACRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
551128-1
NY
367500000X
Certified Registered Nurse Anesthetist
079026
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
201600496CRNA
OR
Other
Enumeration date
05/12/2007
Last updated
08/26/2016
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