Individual
KHIA GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
14415 SE 119TH AVE, CLACKAMAS, OR 97015-7217
(503) 425-9773
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201502102RN
OR
390200000X
Student in an Organized Health Care Education/Training Program
201502102RN
OR
Other
Enumeration date
09/13/2015
Last updated
01/12/2018
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