Organization
PACIFIC CASCADE PAIN AND ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA DORFMEISTER CRNA (OWNER)
(302) 757-9591
Entity
Organization
Contact information
Practice address
2040A PUBLIC SQUARE CT, NORTH BEND, OR 97459-1253
(541) 808-3553
(541) 808-3494
Mailing address
PO BOX 1385, IDAHO FALLS, ID 83403-1385
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
05/23/2022
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