Individual
TIMOTHY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60469187
WA
367500000X
Certified Registered Nurse Anesthetist
RN00163093
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036625
—
WA
Enumeration date
05/19/2010
Last updated
04/21/2026
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