| Sirjana Pun, | |
|
1221 Highland Ave, Clarkston, WA 99403-2829 | |
| (253) 867-7777 | |
| Not Available |
| Full Name | Sirjana Pun |
|---|---|
| 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 |
|---|---|
| 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 |