Gundersen, Dennis G

Gundersen, Dennis G is an individual health care provider with primary practice located at 342 Fairview St , Silverton OR 97381. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gundersen, Dennis G can be contacted via phone (503) 873-1500.

Contact Information

Primary practice address
342 Fairview St Silverton OR 97381
Phone: (503) 873-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 082011439 Oregon

Profile Details

NPI number 1912948241
LBN Legal business name Gundersen, Dennis G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912948241 NPPES
Oregon Other 807251005 REGENCE BCBSO
Oregon MEDICAID 075952 REGENCE BCBSO

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