Individual
MS. DEBORAH ANN O'HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 825-9096
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
104650
AK
367500000X
Certified Registered Nurse Anesthetist
485189
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2072424
—
WA
Enumeration date
02/18/2006
Last updated
03/15/2017
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