AUSTIN MARK MINER

PORTLAND, OR
NPI1134423361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  235000)
Enumeration Date2011-01-03
Last Update Date2020-01-08
Business Address
Mr. AUSTIN MARK MINER CRNA
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-6008
Mailing Address
Mr. AUSTIN MARK MINER CRNA
17202 SW MARTY LN
BEAVERTON, OR 97006-4214
Phone number: 801-360-2822
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