Organization
SIERRA ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC C JOHNSON CRNA (CRNA)
(877) 261-6262
Entity
Organization
Contact information
Practice address
834 SHERIDAN ST, PT TOWNSEND, WA 98368-2443
(877) 261-6262
(360) 733-9553
Mailing address
1317 HUMBOLDT ST, BELLINGHAM, WA 98225-4931
(877) 261-6262
(360) 733-9553
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9634213
—
WA
Enumeration date
05/08/2006
Last updated
08/22/2020
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