Individual
RALPH L LUELLEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 474-7000
Mailing address
1373 E STATE ROAD 62, MADISON, IN 47250-7328
(812) 801-0609
(812) 801-0276
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201402159CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
AP60203707
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300061265
—
IN
05
—
7100818350
—
KY
Enumeration date
01/20/2011
Last updated
10/09/2025
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