Martyn, Kellen Taverniti

Martyn, Kellen Taverniti is an sole proprietor health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Martyn, Kellen Taverniti can be contacted via phone (503) 652-2880.

Contact Information

Primary practice address
10180 Se Sunnyside Rd Clackamas OR 97015-8970
Phone: (503) 652-2880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 200541945RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 201160010CRNA Oregon

Profile Details

NPI number 1255637237
LBN Legal business name Martyn, Kellen Taverniti
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2011
Last updated Feb 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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