Angel Sidell, RN | |
930 Sw Abbey St, Newport, OR 97365-4820 | |
(541) 265-2244 | |
Not Available |
Full Name | Angel Sidell |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 930 Sw Abbey St, Newport, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487216537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 390200000X (Oregon) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 202211488CRNA-PP (Oregon) | Primary |
Entity Name | Good Samaritan Hospital Corvallis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 |
Entity Name | Samaritan Pacific Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
Entity Name | Samaritan Pacific Health Services Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
Mailing Address | Practice Location Address |
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Angel Sidell, RN Po Box 2847, Corvallis, OR 97339-2847 Ph: () - | Angel Sidell, RN 930 Sw Abbey St, Newport, OR 97365-4820 Ph: (541) 265-2244 |
Cameron Mcguire, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 | |
Mekenzie Spencer Johnston Kmack, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838 | |
Mr. Brent D. Bunker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838 | |
Ms. Cynthia A. Jacobi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey Street, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1838 | |
Ronald D Gilliam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 208-484-2193 |