Individual
JESSICA KHOSRAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 953-7078
Mailing address
PO BOX 94645, SEATTLE, WA 98124-6945
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP70012805
WA
Other
Enumeration date
03/27/2022
Last updated
06/11/2025
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