Individual
LINDA L HARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 902-6140
(541) 902-7533
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 902-6140
(541) 902-7533
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
90007606
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022940
—
OR
01
—
90007606
STATE LICENSE
OR
Enumeration date
07/07/2006
Last updated
10/11/2007
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