# MASON COUNTY ANESTHESIA SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003878471
- **Authorized official:** DEBORAH HARTLEY CRNA (PRESIDENT)
- **Authorized official phone:** (360) 427-3625

## Contact information

- **Practice address:** 901 MT VIEW DR, BLDG 1, SHELTON, WA 98584-4401
- **Practice address phone:** (360) 426-1611
- **Mailing address:** 400 E 10TH ST, WACONIA, MN 55387-4552
- **Mailing address phone:** (952) 442-9770
- **Mailing address fax:** (952) 442-3630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | WA | Yes |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 04/29/2008