HIGHLANDS ANESTHESIA, PC
Nursing at Adams Ave, Black Butte Ranch, OR

License number
Oregon 200140959RN
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Owner
Name: JERRY SLAUGHTER
Title: SECRETARY
Phone: (503) 580-7829
Address
Address
354 W Adams Ave, Black Butte Ranch, OR 97759
National Provider ID: 1518318229
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HIGHLANDS ANESTHESIA, PC

Black Butte Ranch, OR

Registration:
Jan 28, 2011
Addresses:
17158 Caddis Ct, Sisters, OR 97759 (Physical)
PO Box 2402, Sisters, OR 97759 (Mailing)
State ID:
74492092
Business type:
Domestic Professional Corporation
Agent:
Jerry Slaughter,17158 Caddis Ct, Sisters, OR 97759 (Physical)

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