Individual
ROBERT DWIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 3330, SALT LAKE CITY, UT 84110-3330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201042896RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201800298
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2015
Last updated
11/26/2018
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