MR. ETHAN BERRY, MSN CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1710094941

Practice Address

10180 SE SUNNYSIDE RD
Clackamas, OR 97015

Phone: (909) 967-1734

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 200560041CRNA (OR)
Nurse Anesthetist, Certified Registered 367500000X Yes 200560041CRNA (OR)

Frequently Asked Questions

NPI 1710094941 is the National Provider Identifier for MR. ETHAN BERRY, MSN CRNA, a Nurse Anesthetist, Certified Registered provider located in Clackamas, OR. This NPI was enumerated on August 24, 2006.
MR. ETHAN BERRY, MSN CRNA practices at 10180 SE SUNNYSIDE RD, Clackamas, OR 97015.

Quick Facts

NPI
1710094941
Type
Individual
Enumerated
Aug 24, 2006
Last Updated
Nov 20, 2009

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