Individual
ERIC CY MATHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
810 JASMINE ST, OMAK, WA 98841-9578
(509) 826-1760
Mailing address
810 JASMINE ST, OMAK, WA 98841-9578
(509) 826-1760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN60158699
WA
Other
Enumeration date
06/30/2010
Last updated
09/10/2015
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