DAVID TERRAULT

PORTLAND, OR
NPI1063868479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  202004533)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  60656552)
Enumeration Date2016-05-05
Last Update Date2020-06-09
Business Address
DAVID TERRAULT CRNA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-7641
Mailing Address
DAVID TERRAULT CRNA
3181 SW SAM JACKSON PARK RD # SJH-2
PORTLAND, OR 97239-3098
Phone number: 503-494-7641