Organization
CORVALLIS ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M KRUEGER MD (PRESIDENT)
(541) 213-7369
Entity
Organization
Contact information
Practice address
3509 NW SAMARITAN DR STE 201, CORVALLIS, OR 97330-3893
(541) 768-4260
Mailing address
PO BOX 84741, MS 316006, SEATTLE, WA 98124-6041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
01/24/2013
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