Organization
PLATEAU ANESTHESIA PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN J. WALTON C.R.N.A. (PRESIDENT)
(360) 802-3243
Entity
Organization
Contact information
Practice address
1450 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(360) 802-3243
(360) 802-3237
Mailing address
1450 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(360) 802-3243
(360) 802-3237
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121788
LABOR & INDUSTRIES
WA
01
—
601 854 264
UNIFIED BUSINESS ID
WA
05
—
7092034
—
WA
Enumeration date
01/24/2007
Last updated
08/07/2008
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