Individual
DAVID ALLEN KALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3099 RIVER RD S # 100, SALEM, OR 97302-9754
(503) 361-3094
Mailing address
1010 SE 47TH AVE, HILLSBORO, OR 97123-7514
(208) 577-7045
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201260003CRNA
OR
Other
Enumeration date
11/12/2009
Last updated
06/05/2024
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