Individual
TOBY ALLEN PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3406
(541) 667-3420
Mailing address
PO BOX 274, HERMISTON, OR 97838-0274
(541) 564-4466
(541) 564-4466
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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