Organization
MID-VALLEY ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANTE A CIPOLLONE CRNA J (PRESIDENT OWNER)
(541) 758-8094
Entity
Organization
Contact information
Practice address
2700 14TH AVE SE, ALBANY, OR 97322
(541) 928-1667
Mailing address
5319 SW WESTGATE DR, #241, PORTLAND, OR 97221-2432
(503) 297-7223
(503) 297-7603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Enumeration date
03/14/2006
Last updated
08/22/2020
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