Individual
ARLISSA MARIE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
115 NEW VIEW CT NE, OLYMPIA, WA 98506-5250
(360) 252-1642
(360) 252-1646
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
110657
AK
367500000X
Certified Registered Nurse Anesthetist
20160320RN
OR
367500000X
Certified Registered Nurse Anesthetist
4704246294
MI
367500000X
Certified Registered Nurse Anesthetist
51837
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006518
WA
367500000X
Certified Registered Nurse Anesthetist
NUR-RN-LIC-103625
MT
367500000X
Certified Registered Nurse Anesthetist
R48282
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02103869
—
NM
05
—
1831431132
—
MT
05
—
1861431132
—
ID
05
—
2010148
—
WA
01
—
481484YWN7
MEDICARE NM
NM
05
—
500705934
—
OR
01
—
G8950928
MEDICARE WA
WA
Enumeration date
06/05/2006
Last updated
08/21/2024
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