Individual
MELISSA DAWN STRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(509) 710-1101
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(509) 710-1101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201160051CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006242
WA
Other
Enumeration date
04/14/2006
Last updated
08/08/2013
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