Provider Demographics
NPI:1003538455
Name:KOBZEFF ANESTHESIA, INC.
Entity Type:Organization
Organization Name:KOBZEFF ANESTHESIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:KOBZEFF
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:866-758-5972
Mailing Address - Street 1:16034 INVERURIE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-4110
Mailing Address - Country:US
Mailing Address - Phone:503-930-9443
Mailing Address - Fax:
Practice Address - Street 1:16034 INVERURIE RD
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-4110
Practice Address - Country:US
Practice Address - Phone:503-930-9443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty