| Alan C Tate, CRNA | |
|
211 Skyline Drive, White Salmon, WA 98672-0099 | |
| (509) 493-1101 | |
| (509) 493-2838 |
| Full Name | Alan C Tate |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 211 Skyline Drive, White Salmon, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750398806 | NPI | - | NPPES |
| AP30005474 | Other | WA | WA CRNA LICENSE |
| RN00062712 | Other | WA | WA LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30005474 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alan C Tate, CRNA 211 Skyline Drive, Po Box 99, White Salmon, WA 98672-0099 Ph: (509) 493-1101 | Alan C Tate, CRNA 211 Skyline Drive, White Salmon, WA 98672-0099 Ph: (509) 493-1101 |
Terry J Phillips, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 211 Skyline Drive, White Salmon, WA 98672 Phone: 509-493-1101 Fax: 509-493-2838 |