| NPI | 1013960038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN KRAUSE Sole Proprietor 503-372-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30006687) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |