Individual
MR. RANDALL THOMAS STEWART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1700 E 19TH ST, MID COLUMBIA MEDICAL CENTER, THE DALLES, OR 97058-9653
(541) 296-1111
(541) 296-7614
Mailing address
4280 PLEASANT RIDGE RD, THE DALLES, OR 97058-9653
(541) 296-9614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP30004725
WA
367500000X
Certified Registered Nurse Anesthetist
RN0006617
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035006
WA DEPT LABOR
WA
05
—
071290
—
OR
01
—
08263900O
BCBS
OR
05
—
9025966
—
WA
Enumeration date
01/06/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us