Individual
JACOB JOSEPH REINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
406 S 30TH AVE, SUITE 202, YAKIMA, WA 98902-3713
(509) 972-1051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
754407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194807701
—
TX
01
—
89029U
BCBS
TX
01
—
P00711635
RAILROAD
TX
Enumeration date
07/20/2007
Last updated
07/17/2009
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