Organization
OKANOGAN VALLEY ANESTHESIA CENTER FOR PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN K BOTH CRNA (OWNER/PROVIDER)
(509) 740-2192
Entity
Organization
Contact information
Practice address
208 S MAIN ST, OMAK, WA 98841-9755
(509) 740-2192
(509) 223-2244
Mailing address
208 S MAIN ST, OMAK, WA 98841-9755
(509) 740-2192
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
01/28/2025
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