Individual
JAY ALAN BRYNGELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
112062
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
201807340CRNA
OR
Other
Enumeration date
03/20/2008
Last updated
10/19/2021
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