Organization
LEWIS COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
ANESTHESIA GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOGGESS (CFO)
(360) 496-3701
Entity
Organization
Contact information
Practice address
521 ADAMS AVE, MORTON, WA 98356
(360) 496-5112
(360) 496-3511
Mailing address
PO BOX 1138, MORTON, WA 98356-0019
(360) 496-5112
(360) 983-3098
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9650805
—
WA
Enumeration date
01/26/2007
Last updated
11/08/2018
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