Doctor Name: | JOHN DEWAYNE POWELL |
NPI Number: | 1457652679 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNA |
License Number: | 085546 |
Business Practice Address: | 406 S 30th Ave Suite 202 Yakima, WA - 989023713 |
Business Phone Number: | 5099721051 |
Business Fax Number: | 5099724166 |
Mailing Address: | 406 S 30th Ave, Suite 202 YAKIMA |
State: | WA |
Postal Code: | 989023713 |
Phone Number: | 5099721051 |
Fax Number: | 5099724166 |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 12/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 085546 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |