Individual
MARISA PRESTON-KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
52 NE 50TH AVE, PORTLAND, OR 97213-2906
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200960014CRNA
OR
Other
Enumeration date
04/24/2009
Last updated
02/04/2022
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