Organization
PACELINE ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN E SIAPCO CRNA (PROVIDER/OWNER)
(253) 588-7911
Entity
Organization
Contact information
Practice address
1135 116TH AVE NE, SUITE 570, BELLEVUE, WA 98004-4623
(425) 451-7335
(253) 984-6774
Mailing address
PO BOX 94333, SEATTLE, WA 98124-6633
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30006883
PROFESSIONAL LICENSE
WA
Enumeration date
04/12/2010
Last updated
05/10/2022
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