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Contact Information

WIND RIVER ANESTHESIA CONSULTANTS INC
2865 DAGGETT AVE
KLAMATH FALLS, OR97601
 Phone: 541-882-6311
 Fax: 530-243-0445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for WIND RIVER ANESTHESIA CONSULTANTS INC · (Female)

NPI # 1720169014
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2006
Last updated 02/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # MD182286
  • WY Medicaid 120003800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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