Organization
HIGHLANDS ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SLAUGHTER (SECRETARY)
(503) 580-7829
Entity
Organization
Contact information
Practice address
17158 CADDIS CT, SISTERS, OR 97759-9826
(503) 580-7829
Mailing address
PO BOX 2402, SISTERS, OR 97759-2402
(503) 580-7829
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201501636CRNA-PP
OR
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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