Organization
EHS CRNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAYLON KEITH RICHARDSON (DIRECTOR OF FINANCE)
(509) 838-6709
Entity
Organization
Contact information
Practice address
104 W 5TH AVE, SUITE 250E, SPOKANE, WA 99204-4880
(509) 838-6709
(509) 835-4058
Mailing address
104 W 5TH AVE, SUITE 250E, SPOKANE, WA 99204-4880
(509) 838-6709
(509) 835-4058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9646795
—
WA
Enumeration date
05/23/2006
Last updated
01/23/2008
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