Individual
JEFFREY D VAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0111
(206) 598-4260
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005421
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073614640
—
WA
01
—
108803
L&I
WA
Enumeration date
09/26/2006
Last updated
09/08/2015
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