Organization
WILLAMETTE ANESTHESIOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MARK HERR (FINANCIAL OFFICER)
(503) 655-0255
Entity
Organization
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 656-1631
Mailing address
PO BOX 1600, OREGON CITY, OR 97045-0600
(503) 655-0255
(503) 655-0255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288046
—
OR
Enumeration date
05/26/2006
Last updated
10/19/2007
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