Provider Demographics
NPI:1508174012
Name:TUALITY ANESTHESIA SERVICES, LLC
Entity Type:Organization
Organization Name:TUALITY ANESTHESIA SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLETTI
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:503-681-1690
Mailing Address - Street 1:335 SE 8TH AVE
Mailing Address - Street 2:ATTN: JOHN COLETTI
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4246
Mailing Address - Country:US
Mailing Address - Phone:503-681-1690
Mailing Address - Fax:503-681-1608
Practice Address - Street 1:335 SE 8TH AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4246
Practice Address - Country:US
Practice Address - Phone:503-681-1690
Practice Address - Fax:503-681-1608
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TUALITY HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty