Organization
DOUGLAS L RABER, CRNA, PS
Active
Other names
Anesthesia Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS RABER (PRESIDENT)
(425) 774-8530
Entity
Organization
Contact information
Practice address
4165 AUGUSTA DR NE, TACOMA, WA 98422-4751
(206) 713-0854
Mailing address
PO BOX 23986, FEDERAL WAY, WA 98093-0986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
601 161 086 000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9603671
—
WA
Enumeration date
07/19/2007
Last updated
07/19/2007
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