Organization
COMPLETE ANESTHESIA CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND WILLIAM BENNETTS M.D. (OWNER)
(503) 229-7137
Entity
Organization
Contact information
Practice address
1130 NW 22ND AVE, SUITE 615, PORTLAND, OR 97210-2900
(503) 229-7137
(503) 241-0628
Mailing address
PO BOX 4860, MURRELLS INLET, SC 29576-2698
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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