Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB DAVID SANDEFUR, CRNA
Active Sole ProprietorJACOB DAVID SANDEFUR, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LA GRANDE, Oregon. NPI 1770212417 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · LA GRANDE, OR
Registration Details
- NPI Number
- 1770212417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2022 (4.168895982671 yrs)
- Last Updated
- Sep 23, 2022
- Licenses
-
239503 (TN)202214569CRNAPP (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
900 SUNSET DRLA GRANDE, OR, 978501387Browse OR providers · Browse ZIP 97850
- Phone
- 5419638421
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in LA GRANDE, OR
| Name | Credential | NPI |
|---|---|---|
| SHERIDAN D KLINGER | CRNA | 1871563296 |
| BRADLEY ROBERT CLOSE | CRNA | 1649638875 |
| ZACHARY MICHAEL JACOBSEN | CRNA | 1225808264 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.