Organization
10TH PLANET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM GEMMILL KEARNS CRNA (PRESIDENT)
(215) 262-4718
Entity
Organization
Contact information
Practice address
2125 SE OAK ST, PORTLAND, OR 97214-1606
(215) 262-4718
Mailing address
2125 SE OAK ST, PORTLAND, OR 97214-1606
(215) 262-4718
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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