Individual
JESSICA RAE SLAGHT-LANGWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101364
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
201705852CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
AP60785604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107807
—
WA
Enumeration date
06/09/2016
Last updated
10/20/2021
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