Organization
TIMBUS ANESTHESIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KENT ANDERSON MD (CEO/ANESTHESIOLOGIST)
(541) 390-7020
Entity
Organization
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
Mailing address
275 LONE PINE LN, THE DALLES, OR 97058-9724
(541) 390-7020
(541) 769-0741
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD14731
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177709
—
OR
Enumeration date
06/08/2018
Last updated
06/08/2018
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