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Individual

EDWARD O. FLEMING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
900 S AUBURN ST, KENNEWICK, WA 99336-5621
(509) 586-6111
Mailing address
PO BOX 34940, SEATTLE, WA 98124-1940
(503) 372-2740
(503) 372-2754

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00081581
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
094006391CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
AP30005028
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004366000
ID
05
9634809
WA
Enumeration date
05/26/2006
Last updated
10/20/2021
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