Individual
SAMUEL HARRIS POPE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 353-3788
(425) 353-8041
Mailing address
PO BOX 84571, SEATTLE, WA 98124-5871
(425) 353-3788
(425) 353-8041
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN00080662
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052080
LABOR AND INDUSTRIES
WA
05
—
9611732
—
WA
Enumeration date
08/31/2006
Last updated
11/19/2007
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