NPI: 1770241853 · MEDFORD, OR 97504 · Certified Registered Nurse Anesthetist · NPI assigned 12/06/2021
| Authorized Official | JENSEN, KEITH (PRESIDENT) |
| NPI Enumeration Date | 12/06/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00142 | 14 | 14 | $1K |