Individual
KATHERINE A POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 828-5396
Mailing address
505 NE 87TH AVE, SUITE 46.5, VANCOUVER, WA 98664-1989
(360) 828-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60739166
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43408200
—
WI
01
—
P00191722
RAILROAD MEDICARE
WI
Enumeration date
12/15/2005
Last updated
04/03/2017
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