Individual
SARA F. SIWANOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 828-5396
(360) 828-5455
Mailing address
PO BOX 5157, VANCOUVER, WA 98668-5157
(360) 687-5221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00158602
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007036
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0204066
LABOR & INDUSTRY
WA
01
—
8940597
L&I CRIME VICTIMS
WA
05
—
9646258
—
WA
Enumeration date
04/19/2006
Last updated
03/08/2017
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