Organization
ELYSIUM ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE BROOME CRNA (PRESIDENT)
(828) 773-1043
Entity
Organization
Contact information
Practice address
625 9TH AVE, LONGVIEW, WA 98632-2464
(360) 442-7900
Mailing address
17513 NE 35TH CIR, VANCOUVER, WA 98682-5646
(828) 773-1043
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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