Organization
NINETY TEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ARON CRNA (CEO)
(503) 789-3681
Entity
Organization
Contact information
Practice address
123 E INDIANA AVE, SPOKANE, WA 99207-2313
(866) 904-7721
Mailing address
3439 NE SANDY BLVD # 213, PORTLAND, OR 97232-1959
(503) 789-3681
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/12/2021
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