Individual
MR. ROBERT SHAUN REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1500
Mailing address
6620 SHADOW CREEK LN NE, OLYMPIA, WA 98516-6504
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10025383
OR
367500000X
Certified Registered Nurse Anesthetist
2021037326
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60578737
WA
367500000X
Certified Registered Nurse Anesthetist
N360586299
WA
Other
Enumeration date
07/20/2015
Last updated
01/20/2026
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