Individual
CHARLES LOREN CUMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
708 SE 125TH AVE, VANCOUVER, WA 98683-6137
(360) 944-0732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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