| NPI | 1932464492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND WILLIAM BENNETTS Owner 503-229-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |