Individual
JASON A MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 985-6879
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 985-6879
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201604055CRNA-PP
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60633486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2057081
—
WA
Enumeration date
03/03/2016
Last updated
05/01/2026
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