| NPI | 1023063278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX PORTER Delegate 509-838-8561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-03-14 |