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Organization

CASCADIA INTERVENTIONAL ANESTHESIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANE MERRILL CRNA (MEMBER)
(369) 501-3449
Entity
Organization

Contact information

Practice address
625 9TH AVE STE 150, LONGVIEW, WA 98632-2467
(360) 501-3449
Mailing address
625 9TH AVE STE 150, LONGVIEW, WA 98632-2467
(360) 501-3449

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
04/11/2024
Last updated
06/25/2024
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