Dwayne Kapule, | |
890 Oak St Se, Salem, OR 97301-3905 | |
(503) 561-5200 | |
Not Available |
Full Name | Dwayne Kapule |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 890 Oak St Se, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1578020194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 201404876RN (Oregon) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 10013307APRN-CRNA (Oregon) | Primary |
Entity Name | Salem Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
Mailing Address | Practice Location Address |
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Dwayne Kapule, 547 Laurel St, Central Point, OR 97502-2346 Ph: (541) 227-8127 | Dwayne Kapule, 890 Oak St Se, Salem, OR 97301-3905 Ph: (503) 561-5200 |
Samantha Medkiff, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 875 Oak St Se Ste 3095, Salem, OR 97301 Phone: 503-561-8170 | |
David Allen Kallberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3099 River Rd S # 100, Salem, OR 97302 Phone: 503-361-3094 | |
Todd Louis Hixson, RN, BSN, SRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 Waldo Ave Se, Salem, OR 97302 Phone: 503-763-2469 | |
Jeffrey Lockwood, RN/CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1330 Commercial St Se, Salem, OR 97302 Phone: 503-763-1973 Fax: 503-763-8886 | |
Ms. Stefany Mcmullen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5230 Eola Dr Nw, Salem, OR 97304 Phone: 661-699-4532 |