Individual
DWAYNE KAPULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
547 LAUREL ST, CENTRAL POINT, OR 97502-2346
(541) 227-8127
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201404876RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
10013307APRN-CRNA
OR
Other
Enumeration date
03/01/2019
Last updated
08/16/2023
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