| Tiffany Leigh Gunderson, CRNA | |
|
100 N Mullan Rd Ste 204, Spokane Valley, WA 99206-6848 | |
| (509) 900-6300 | |
| Not Available |
| Full Name | Tiffany Leigh Gunderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 N Mullan Rd Ste 204, Spokane Valley, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184960767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 201392745CRNA (Oregon) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60327805 (Washington) | Secondary |
| Entity Name | Chelan County Public Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578568853 PECOS PAC ID: 9133027360 Enrollment ID: O20031226000201 |
| Entity Name | Okanogan County Public Hospital District No. 3 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387403 PECOS PAC ID: 6800707951 Enrollment ID: O20040128000027 |
| Entity Name | Inland Northwest Surgery Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1467637116 PECOS PAC ID: 0648169094 Enrollment ID: O20040312001108 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Leigh Gunderson, CRNA 27809 N Spotted Rd, Deer Park, WA 99006-5102 Ph: (541) 706-1434 | Tiffany Leigh Gunderson, CRNA 100 N Mullan Rd Ste 204, Spokane Valley, WA 99206-6848 Ph: (509) 900-6300 |
Kelly E Moens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-838-6709 Fax: 509-835-4058 | |
Mr. Lyle Edgar Gates Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-473-5723 | |
Theodore W Bogsrud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16818 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-456-5380 Fax: 509-456-5381 | |
Steven W Beckstrom, CRNA, MAE Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12509 E Mission Ave, Ste 101, Spokane Valley, WA 99216 Phone: 509-928-3600 Fax: 509-922-7244 | |
Mrs. Maryann Frandsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1414 N Houk Rd, Ste 204, Spokane Valley, WA 99216 Phone: 509-922-0362 Fax: 509-228-9542 | |
Mr. Brian John Engel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16818 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-456-5380 |