Provider Demographics
NPI:1417171836
Name:FLAIZ, CLAUDIA RENEE (RNFA)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:RENEE
Last Name:FLAIZ
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:RENEE
Other - Last Name:BENSON FLAIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNFA
Mailing Address - Street 1:1600 W ELM AVE
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-6683
Mailing Address - Country:US
Mailing Address - Phone:541-567-7802
Mailing Address - Fax:541-567-7736
Practice Address - Street 1:610 NW 11TH ST
Practice Address - Street 2:STE. E21
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838-6601
Practice Address - Country:US
Practice Address - Phone:541-567-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR364SP2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP2800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerioperative