Individual
MR. REYNALDO D CALARO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNRA
Contact information
Practice address
6919 N COMMERCIAL AVE, PORTLAND, OR 97217-1713
(206) 604-0936
Mailing address
6919 N COMMERCIAL AVE, PORTLAND, OR 97217-1713
(206) 604-0936
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201260017CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
R 190725-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
03/01/2012
Last updated
08/11/2014
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