Individual
RILEY N BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4265
(253) 968-0198
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9284538
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60266203
WA
Other
Enumeration date
11/14/2011
Last updated
03/16/2023
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