Sirjana Pun, | |
1221 Highland Ave, Clarkston, WA 99403-2829 | |
(253) 867-7777 | |
Not Available |
Full Name | Sirjana Pun |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1221 Highland Ave, Clarkston, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093584732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP61509162 (Washington) | Primary |
Entity Name | Tri-state Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598814352 PECOS PAC ID: 4082502422 Enrollment ID: O20040308001123 |
Mailing Address | Practice Location Address |
---|---|
Sirjana Pun, 19422 113th Ave Se, Kent, WA 98031-0208 Ph: (253) 867-7777 | Sirjana Pun, 1221 Highland Ave, Clarkston, WA 99403-2829 Ph: (253) 867-7777 |
Mark Roubidoux, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 509-758-5511 | |
Bryan Phelps, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 509-758-5511 | |
Julie Bechtel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 509-785-5511 |