NPI 1134448996

Theodore Russell Gavel, CRNA

Practitioner Certified Registered Nurse Anesthetist Centralia, WA

Practice location

Address: 914 S Scheuber Rd Pmg SW Wa Centralia Anesthesiology, Centralia, WA 98531-9027
Phone: (360) 736-2803
Mailing address: PO Box 3360, Portland, OR 97208-3360

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP60443744 (WA)

Other Nurse Anesthetist, Certified Registered providers in Washington →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN584062 (PA)

Registry record

NPI: 1134448996
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2010
Record last updated: 21 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.