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Individual

KATHERINE C. PIEKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006989
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01623U
REGENCE BLUE SHIELD PIN
WA
01
0201287
L&I PIN
WA
05
1962440248
WA
Enumeration date
06/02/2006
Last updated
12/06/2013
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