Individual
JOHN DEWAYNE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
406 S 30TH AVE, SUITE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Mailing address
406 S 30TH AVE, SUITE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60197964
WA
390200000X
Student in an Organized Health Care Education/Training Program
085546
NY
Other
Enumeration date
11/04/2010
Last updated
12/28/2010
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