Individual
ALLEN RAY STURDEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
203 S WESTERN AVE, NORTH VALLEY HOSPITAL, TONASKET, WA 98855
(509) 486-2151
(509) 486-3176
Mailing address
PO BOX 1617, PORT ANGELES, WA 98362
(360) 452-5648
(360) 452-5648
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AR30003006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38334
CRNA CERTIFICATION #
—
Enumeration date
08/28/2006
Last updated
07/08/2007
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