Organization
MID-COLUMBIA ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J HANNAN DO (PRESIDENT)
(503) 372-2740
Entity
Organization
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Mailing address
PO BOX 34940, SEATTLE, WA 98124-1940
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7125123
—
WA
Enumeration date
05/05/2006
Last updated
08/22/2020
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