Individual
MR. JUSTIN GUEVARRA MARAYAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(949) 922-5019
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(949) 922-5019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201500687CRNA-PP
OR
Other
Enumeration date
09/10/2012
Last updated
02/09/2015
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