NPI 1346562113

Russell Jon Watson, CRNA

Practitioner Certified Registered Nurse Anesthetist Ontario, OR

Practice location

Address: 351 SW 9th St, Ontario, OR 97914-2639
Phone: (541) 881-7000
Mailing address: PO Box 2936, Idaho Falls, ID 83403-2936

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA-912A (ID)

Other Nurse Anesthetist, Certified Registered providers in Oregon →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 201160057CRNA (OR)

Registry record

NPI: 1346562113
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2010
Record last updated: 17 Mar 2018

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.