Healthcare Provider Details

I. General information

NPI: 1508174012
Provider Name (Legal Business Name): TUALITY ANESTHESIA SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 09/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 SE 8TH AVE
HILLSBORO OR
97123-4246
US

IV. Provider business mailing address

335 SE 8TH AVE ATTN: JOHN COLETTI
HILLSBORO OR
97123-4246
US

V. Phone/Fax

Practice location:
  • Phone: 503-681-1690
  • Fax: 503-681-1608
Mailing address:
  • Phone: 503-681-1690
  • Fax: 503-681-1608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN M COLETTI JR.
Title or Position: MEMBER
Credential: M.D.
Phone: 503-681-1690