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Organization

NOBLE DREAMS ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYSON SUMMERS CRNA (ORGANIZER/CHIEF MANAGER)
(865) 384-6465
Entity
Organization

Contact information

Practice address
3099 RIVER RD S # 100, SALEM, OR 97302-9754
(503) 758-0892
(503) 966-1177
Mailing address
3473 MACI ELLE CT SE, SALEM, OR 97302-2797
(865) 384-6465

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201392028CRNA
OR

Other

Enumeration date
01/23/2018
Last updated
11/10/2025
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