Individual
MR. LAURENCE SAGASAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE UHS-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Mailing address
PO BOX 1812, PORTLAND, OR 97207-1812
(503) 494-7641
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200660014CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241113
—
OR
01
—
810276120
REGENCE BCBSOR
OR
05
—
9648684
—
WA
Enumeration date
11/08/2006
Last updated
01/11/2022
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