KIMBAL W ANDERSON

PENDLETON, OR
NPI1831371558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  200860001CRNA)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP 60215085)
Enumeration Date2007-12-04
Last Update Date2012-03-09
Business Address
Mr. KIMBAL W ANDERSON CRNA
397 NW JOHNS LN
PENDLETON, OR 97801-1458
Phone number: 541-276-2758
Mailing Address
Mr. KIMBAL W ANDERSON CRNA
PO BOX 1185
PENDLETON, OR 97801-0150
Phone number: 541-276-2758