NPI: 1669417176 · LAKE OSWEGO, OR 97034 · Anesthesiology Physician · NPI assigned 06/18/2006
| Authorized Official | DIGGLES, GRANT (CEO) |
| NPI Enumeration Date | 06/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $199.95 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 01936 | 17 | 12 | $199.95 |