Organization
AWH SURGICAL FIRST ASSISTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA HOVENDEN RNFA (OWNER)
(503) 580-5163
Entity
Organization
Contact information
Practice address
1423 84TH PL SE, SALEM, OR 97317-9013
(503) 580-5163
(503) 390-7171
Mailing address
1423 84TH PL SE, SALEM, OR 97317-9013
(503) 580-5163
(503) 390-7171
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
200641697RN
OR
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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