Individual
KAREN S URSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1331 NW LOVEJOY ST, PORTLAND, OR 97209-2799
(503) 535-2883
(503) 535-2887
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(800) 888-9903
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1154
HI
367500000X
Certified Registered Nurse Anesthetist
201405484RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201405485CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
36247
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040572
—
WA
01
—
R223986
MCOR
OR
Enumeration date
06/24/2009
Last updated
07/08/2021
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