Whalio Doctors

NPI 1235532318

Lenny Eugene Dickens, CRNA

Practitioner Certified Registered Nurse Anesthetist Silverton, OR

Practice location

Address
342 Fairview Street, Silverton, OR 97381
Phone
(503) 873-1705
Fax
(503) 873-1717
Mailing address
PO Box 278, Woodburn, OR 97071

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 201701462CRNA (OR)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 201041932RN (OR)

Registry record

NPI
1235532318
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Oct 2014
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.