THEODORE W BOGSRUD

SPOKANE VALLEY, WA
NPI1215968961
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP30004818)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  28189)
367500000X Nurse Anesthetist, Certified Registered
(Licence: MT  NUR-RN-LIC-101109)
Enumeration Date2006-07-05
Last Update Date2020-11-18
Business Address
THEODORE W BOGSRUD CRNA
16818 E DESMET CT
SPOKANE VALLEY, WA 99216-3542
Phone number: 509-456-5380
Mailing Address
THEODORE W BOGSRUD CRNA
2517 NE KRESKY AVE
CHEHALIS, WA 98532-2409
Phone number: 360-242-3008