Organization
OHOP VALLEY ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN BUTLER CRNA (PRESIDENT)
(360) 832-3020
Entity
Organization
Contact information
Practice address
3515 S 15TH ST, TACOMA, WA 98405-1952
(253) 756-0933
Mailing address
PO BOX 955, EATONVILLE, WA 98328-0955
(360) 832-3020
(360) 832-3720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004657
WA
Other
Enumeration date
10/05/2005
Last updated
08/22/2020
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