| NPI | 1548717770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILE KOURY Delegated Official 503-372-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-08 |