Individual
MR. PAUL J PORTENLANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 270188
OH
163W00000X
Registered Nurse
RN 348512-L
PA
163W00000X
Registered Nurse
RN 53202
HI
367500000X
Certified Registered Nurse Anesthetist
348512
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
R2188072
MN
Other
Enumeration date
11/02/2011
Last updated
07/21/2025
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