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Individual

SHERIDAN D KLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-1401
(541) 963-1502
Mailing address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-1401
(541) 963-1502

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200760012CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
CRNA00769
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52274756
NM
05
65157346
CO
05
809486
AZ
05
T1110
UT
Enumeration date
01/26/2006
Last updated
07/30/2010
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