Individual
MR. KELLEN TAVERNITI MARTYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
1950 SW CAMELOT CT APT 503, PORTLAND, OR 97225-3754
(509) 475-1524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200541945RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201160010CRNA
OR
Other
Enumeration date
02/08/2011
Last updated
02/11/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us