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Individual

DOROTA WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4260
Mailing address
PO BOX 24975, SEATTLE, WA 98124-0975
(425) 353-2840
(425) 353-8041

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00162450
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007198
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0204964
LABOR & INDUSTRY
WA
01
10377U
REGENCE BLUESHIELD
WA
01
8940597
L & I CRIME VICTIMS
WA
05
9647322
WA
01
P00294930
RAILROAD MEDICARE
WA
Enumeration date
04/04/2006
Last updated
12/03/2008
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