Individual
MARK JAMES PADRNOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S 13TH ST, MOUNT VERNON, WA 98274-4105
(360) 336-2178
Mailing address
PO BOX 2329, MOUNT VERNON, WA 98273-7329
(360) 336-6517
(360) 466-2682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00107541
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004443
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164787
DEPARTMENT OF LABOR AND INDUSTRIES
WA
01
—
5032PA
REGENCE BLUE SHIELD
WA
05
—
9609280
—
WA
Enumeration date
02/22/2006
Last updated
07/11/2008
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