Organization
ROGUE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRANCES CAROL YOUNG CRNA (STAFF ANESTHETIST)
(541) 472-4882
Entity
Organization
Contact information
Practice address
1601 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1041
(541) 472-4882
Mailing address
1601 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1041
(541) 472-4882
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
082010407CRNA
OR
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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