Organization
COLUMBIA RIVER ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E DUDO M.D., C.R.N.A. (OWNER)
(307) 251-0502
Entity
Organization
Contact information
Practice address
1122 W ELM AVE, HERMISTON, OR 97838-6933
(307) 251-0502
Mailing address
1122 W ELM AVE, HERMISTON, OR 97838-6933
(307) 251-0502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
090007538CRNA
OR
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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