Organization
NORTHWEST PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN RYDER CRNA (CHIEF)
(503) 203-2043
Entity
Organization
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 203-2043
Mailing address
3601 SW RIVER PARKWAY, SUITE 612, PORTLAND, OR 97239
(503) 820-9308
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
092000286CRNA
OR
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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