Individual
MARCI HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2205 NE 129TH ST, VANCOUVER, WA 98686-3252
(360) 694-2544
(360) 694-1356
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
095006239RN
OR
367500000X
Certified Registered Nurse Anesthetist
700259
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN00168011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013127
—
WA
05
—
1558303297
—
OR
01
—
G895792
MEDICARE WA
WA
Enumeration date
06/10/2006
Last updated
12/11/2020
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