Organization
SILVERTON ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERLING Y CHAVEZ CRNA (MANAGER MEMBER)
(503) 873-1500
Entity
Organization
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381
(503) 873-1500
Mailing address
1000 WILLAGILLESPIE RD, 350, EUGENE, OR 97401-2178
(541) 343-0952
(503) 343-8034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287240
—
OR
01
—
807251000
REGENCE BCBSO
OR
Enumeration date
06/27/2006
Last updated
01/25/2012
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