Organization
A M M S INC
Active
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
Update your record
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