Individual
MR. IAN ANGUS MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6980
(206) 223-6982
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
45344
MT
163W00000X
Registered Nurse
R147063-9
MN
163W00000X
Registered Nurse
RN 466027
CA
163W00000X
Registered Nurse
RN00103282
WA
367500000X
Certified Registered Nurse Anesthetist
45344
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005404
WA
367500000X
Certified Registered Nurse Anesthetist
NA 2224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0292055
LABOR AND INDUSTRY
WA
05
—
9632951
—
WA
01
—
P01169721
RAILROAD MEDICARE
WA
Enumeration date
09/09/2005
Last updated
06/11/2013
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