Organization
WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
Active
Other names
WhidbeyHealth Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L TELLES (CFO)
(360) 678-7656
Entity
Organization
Contact information
Practice address
101 N. MAIN ST., COUPEVILLE, WA 98239
(360) 678-5151
Mailing address
PO BOX 24077, SEATTLE, WA 98124-0077
(800) 516-5315
(517) 787-7365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0333819
WORKERS COMP OF WA
WA
01
—
615186800
FEDERAL WORKERS COMP
WA
Enumeration date
10/30/2014
Last updated
06/10/2016
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