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Organization

A M M S INC

Active
Other names
EMERALD ANESTHESIA SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLANN J TATE (OFFICE MANAGER)
(509) 493-1467
Entity
Organization

Contact information

Practice address
648 CHETCO AVE, BROOKINGS, OR 97415
(541) 412-9804
(541) 469-4187
Mailing address
PO BOX 2289, WHITE SALMON, WA 98672-2289
(509) 493-1467
(509) 493-3765

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029072
OR
01
H1180
PACIFIC SOURCE
OR
Enumeration date
08/07/2006
Last updated
10/22/2007
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