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Individual

DALE STOGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3043 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 994-3661
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201603005RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201603006CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
AP07173
LA

Other

Enumeration date
01/28/2013
Last updated
01/14/2021
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