Individual
TYLER E DOUMANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100343166
OR
Other
Enumeration date
11/04/2024
Last updated
10/30/2025
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