Organization
NORTHWEST ASSOCIATION OF SURGICAL ASSISTANTS, INC.
Active
Other names
Nasa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB N MARTINEZ CSFA (CERTIFIED SURGICAL FIRST ASSISTANT)
(541) 683-5000
Entity
Organization
Contact information
Practice address
3782 PO BOX, SPRINGFIELD, OR 97475
(541) 683-5000
Mailing address
PO BOX 7382, SPRINGFIELD, OR 97475
(541) 683-5000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
101508
OR
282N00000X
General Acute Care Hospital
Primary
104266
OR
282N00000X
General Acute Care Hospital
113006
OR
282N00000X
General Acute Care Hospital
82427
OR
282N00000X
General Acute Care Hospital
82440
OR
282N00000X
General Acute Care Hospital
F01120
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023262995
NPI NUMBER
OR
01
—
1083949697
NPI NUMBER
OR
01
—
1245475136
NPI NUMBER
OR
01
—
1538316963
NPI NUMBER
OR
01
—
1750538864
NPI NUMBER
OR
01
—
1760628796
NPI NUMBER
OR
Enumeration date
10/28/2011
Last updated
11/29/2011
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