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1679907323
TYSON SUMMERS
SALEM, OR
NPI
1679907323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OR 201392028CRNA)
Enumeration Date
2013-08-29
Last Update Date
2025-11-10
Business Address
-- TYSON SUMMERS CRNA
3099 RIVER RD S # 100
SALEM, OR 97302-9754
Phone number: 503-758-0892
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Mailing Address
-- TYSON SUMMERS CRNA
3473 MACI ELLE CT SE
SALEM, OR 97302-2797
Phone number: 865-384-6465
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