Individual
MR. MIKHAIL PAVLOVICH NEKHAMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
914 S SCHEUBER RD, PMG SW WA CENTRALIA ANESTHESIOLOGY, CENTRALIA, WA 98531-9027
(360) 330-8501
(360) 330-8690
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(360) 486-6508
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60139268
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60139268
LICENSE
WA
01
—
RN00138262
LICENSE
WA
Enumeration date
01/27/2010
Last updated
03/08/2024
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