KRISTELL MARIE WADE

ENTERPRISE, OR
NPI1871503748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  200260022CRNA)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OR  090000506RN)
Enumeration Date2006-08-09
Last Update Date2025-09-11
Business Address
-- KRISTELL MARIE WADE CRNA
604 MEDICAL PARKWAY
ENTERPRISE, OR 97828
Phone number: 541-426-5306
Mailing Address
-- KRISTELL MARIE WADE CRNA
79360 WADE GULCH LANE
LOSTINE, OR 97857
Phone number: 541-263-1465