IndividualActive
Bradley Close, CRNA
NPI 1649638875 · Certified Registered Nurse Anesthetist · La Grande, OR
Provider details
- NPI number
- 1649638875
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 0024173219 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
900 Sunset Dr
La Grande, OR 97850-1387
Phone: (541) 963-8421
Fax: (541) 963-1476
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3290
La Grande, OR 97850-7290
Additional practice locations (1)
- 3325 Pocahontas RdBaker City, OR 97814-1464Phone: (541) 523-6461
Registry dates
- Enumerated
- 2016-02-02
- Last updated
- 2022-03-25
- Certified
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.