Organization
BAINBRIDGE ANESTHESIA ASSOCIATES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE EDWARD REITER M.D. (PRESIDENT)
(360) 271-2846
Entity
Organization
Contact information
Practice address
9800 LEVIN RD NW, SUITE 102, SILVERDALE, WA 98383-7856
(360) 692-2728
(425) 609-0599
Mailing address
6003 23RD DR W STE 100, EVERETT, WA 98203-1583
(425) 407-1500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00023941
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123843
—
WA
01
—
217857
L&I PROVIDER #
WA
01
—
8864660
MEDICARE PTAN
—
Enumeration date
02/06/2007
Last updated
11/09/2023
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