Healthcare Provider Details

I. General information

NPI: 1104929074
Provider Name (Legal Business Name): CASCADE ANESTHESIA SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85463 SVARVERUD RD
EUGENE OR
97405-9427
US

IV. Provider business mailing address

PO BOX 51389
EUGENE OR
97405-0907
US

V. Phone/Fax

Practice location:
  • Phone: 541-345-4343
  • Fax: 541-345-4350
Mailing address:
  • Phone: 541-345-4343
  • Fax: 541-345-4350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateOR

VIII. Authorized Official

Name: JERALD ANTHONY TURK
Title or Position: CEO
Credential: C.R.N.A.
Phone: 541-484-0271