Individual
TODD LOUIS HIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, SRNA
Contact information
Practice address
630 WALDO AVE SE, SALEM, OR 97302-3175
(503) 763-2469
Mailing address
630 WALDO AVE SE, SALEM, OR 97302-3175
(503) 763-2469
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
087039
OR
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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