TYSON SUMMERS

CLACKAMAS, OR
NPI1679907323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  201392028CRNA)
Enumeration Date2013-08-29
Last Update Date2013-08-29
Business Address
-- TYSON SUMMERS CRNA
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-813-3860
Mailing Address
-- TYSON SUMMERS CRNA
16736 SW ROGUE RIVER TER
BEAVERTON, OR 97006-7990
Phone number: 865-384-6465
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