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Organization

A M M S INC

Active
Other names
EMERALD ANESTHESIA SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
ANN M MCHALESASS CRNA (PRESIDENT)
(541) 689-0864
Entity
Organization

Contact information

Practice address
12050 SE STEVENS RD, SUITE 400, CLACKAMAS, OR 97086-7667
(952) 442-3603
(952) 442-3672
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-3603
(952) 442-3672

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029072
OR
01
825658000
REGENCE BCBSO
OR
01
DC1444
PALMETTO GBA-RAILROAD MC
OR
01
H1180
PACIFIC SOURCE
OR
Enumeration date
08/06/2006
Last updated
05/26/2011
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