Justin Rajala, | |
9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-7394 | |
(253) 968-1110 | |
Not Available |
Full Name | Justin Rajala |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 9040a Jackson Ave, Joint Base Lewis Mcchord, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1790387520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 981448 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP61399488 (Washington) | Primary |
Entity Name | Public Hospital District No 3 Of Whitman County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922009448 PECOS PAC ID: 7719875020 Enrollment ID: O20040309000090 |
Entity Name | Capital Medical Center Specialty Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
Entity Name | Gastroenterology Associates Clinical Practice Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811556442 PECOS PAC ID: 2062770605 Enrollment ID: O20191025001578 |
Mailing Address | Practice Location Address |
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Justin Rajala, 1018 Fir St Se, Olympia, WA 98501-1840 Ph: (970) 214-9049 | Justin Rajala, 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-7394 Ph: (253) 968-1110 |
Dr. Zacchary Shepherd, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1110 | |
Kenneth Jay Robles Selerio, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Maria Sarah Cole, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-986-1110 | |
Donald Vallier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Sean Wayne Calder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Reid St, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1161 | |
Dr. Anthony Justin Harmon, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 720-684-7997 |