Individual
TYLER CHAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
3580 40TH AVE SE, ALBANY, OR 97322-7614
(541) 905-6868
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202101479CRNA-PP
OR
Other
Enumeration date
09/27/2018
Last updated
03/26/2023
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