Organization
NORTH BEND ANESTHESIA BILLING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ELSEMORE CRNA (OWNER)
(425) 281-7249
Entity
Organization
Contact information
Practice address
15535 477TH AVE SE, NORTH BEND, WA 98045-8666
(425) 281-7249
Mailing address
PO BOX 471, NORTH BEND, WA 98045-0471
(425) 281-7249
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1934000000X
—
WA
Enumeration date
01/19/2014
Last updated
01/07/2015
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