JARED A BEVAN

BOISE, ID
NPI1609113927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  RN 9306861)
Enumeration Date2013-01-07
Last Update Date2013-01-07
Business Address
-- JARED A BEVAN CRNA
1055 N. CURTIS RD.
BOISE, ID 83706-8370
Phone number: 503-372-2763
Mailing Address
-- JARED A BEVAN CRNA
PO BOX 4268
PORTLAND, OR 97208-9720
Phone number: 503-372-2740
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