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1346591179
JONATHAN CRANDALL
PORTLAND, OR
NPI
1346591179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OR 201600864)
Enumeration Date
2012-09-19
Last Update Date
2021-10-26
Business Address
JONATHAN CRANDALL CRNA
3181 SW SAM JACKSON PARK ROAD OHSU HOSPITAL
PORTLAND, OR 97239
Phone number: 503-494-8311
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Mailing Address
JONATHAN CRANDALL CRNA
1950 MOUNT PLEASANT RD
KELSO, WA 98626-9220
Phone number: 208-310-1149
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