NPI 1962129775

Mark Andreyevich Bobrovnikov, CRNA

Practitioner Certified Registered Nurse Anesthetist Centralia, WA

Practice location

Address: 914 S Scheuber Rd, Centralia, WA 98531-9027
Phone: (360) 736-2803
Mailing address: 6400 SE Lake Rd STE 300, Portland, OR 97222-2129

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP70080711 (WA)

Other Nurse Anesthetist, Certified Registered providers in Washington →

Registry record

NPI: 1962129775
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2022
Record last updated: 12 Jan 2026

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.