| NPI | 1982832333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN K COPELAND Provider/Owner 425-614-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007351) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2016-09-22 |