Organization
OLYMPIC ANESTHESIA INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLUM P TINLEY CRNA (CRNA)
(360) 385-5244
Entity
Organization
Contact information
Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Mailing address
409 LANE DE CHANTAL, PORT TOWNSEND, WA 98368-8815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005901
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9638719
—
WA
Enumeration date
04/18/2006
Last updated
04/21/2011
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