Individual
DANNY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1050 SOUTHGATE, PENDLETON, OR 97801
(541) 276-4752
Mailing address
5319 SW WESTGATE DR, #241, PORTLAND, OR 97221-2432
(503) 297-7223
(503) 297-7603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
081034405
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082687000
REGENCE BCBSO
OR
05
—
170373
—
OR
Enumeration date
04/28/2006
Last updated
07/26/2010
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