Individual
JERALD ANTHONY TURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
675 E 19TH AVE, EUGENE, OR 97401-4304
(541) 284-5184
Mailing address
PO BOX 51389, EUGENE, OR 97405-0907
(541) 345-4343
(541) 345-4350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
084057658
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084057658
RN/CRNA LICENSE #
OR
05
—
150006
—
OR
01
—
36801
AANA #
OR
Enumeration date
05/19/2006
Last updated
06/30/2008
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