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Contact Information

KEITH R ANDERSON, CRNA
500 SW RAMSEY AVE
GRANTS PASS, OR97527
 Phone: 541-472-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KEITH R ANDERSON · (Male)

NPI Number 1073590733
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 12/23/2005
Last updated 03/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 200460004CRNA
  • OR License # 89000337RN
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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