Individual
MR. MICHAEL E OHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914
(541) 881-7140
Mailing address
5319 SW WESTGATE DR, #241, PORTLAND, OR 97221-2432
(503) 297-7223
(503) 297-7603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
096007764
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004380200
—
ID
01
—
006401009
REGENCE BCBSO
OR
05
—
292410
—
OR
Enumeration date
04/19/2006
Last updated
11/01/2010
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