NPI 1215968961

Theodore W Bogsrud, CRNA

Practitioner Certified Registered Nurse Anesthetist Spokane Valley, WA

Practice location

Address: 16818 E Desmet CT, Spokane Valley, WA 99216-3542
Phone: (509) 456-5380
Fax: (509) 456-5381
Mailing address: 2517 NE Kresky Ave, Chehalis, WA 98532-2409

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP30004818 (WA)

Other Nurse Anesthetist, Certified Registered providers in Washington →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 28189 (ID)

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence NUR-RN-LIC-101109 (MT)

Registry record

NPI: 1215968961
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 18 Nov 2020

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.