Organization
WA SPOK VH CRNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216-3421
(509) 473-5405
(509) 473-5421
Mailing address
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216-3421
(509) 473-5405
(509) 473-5421
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0244041
DEPARTMENT OF LABOR AND INDUSTRIES
WA
05
—
9659186
—
WA
Enumeration date
09/23/2008
Last updated
07/24/2009
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