WAYNE NUSSBAUM

CLACKAMAS, OR
NPI1730299397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  200260026CRNA)
Enumeration Date2006-08-30
Last Update Date2007-07-20
Business Address
-- WAYNE NUSSBAUM CRNA
10180 SE SUNNYSIDE ROAD
CLACKAMAS, OR 97015-9764
Phone number: 503-652-2880
Mailing Address
-- WAYNE NUSSBAUM CRNA
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-4506
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