Individual
MR. GREG JAY PASSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
PO BOX 628, EAGLE CREEK, OR 97022-0628
(503) 630-6246
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
089000547CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
089000547CRNA
OR
Other
Enumeration date
09/04/2006
Last updated
12/07/2024
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