Douglas L Raber, Crna, PS

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

601 161 086 000 Issued in WA

Legal business name

DOUGLAS L RABER, CRNA, PS

Doing business as

Anesthesia Northwest

Practice address

4165 Augusta Dr NE
Tacoma, WA 98422-4751

Phone

(206) 713-0854

NPI assigned

Jul 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas Raber

Title

President

Phone

(425) 774-8530

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anesthesia Northwest Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1013117837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23986",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980930986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 AUGUSTA DR NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984224751",
            "telephone_number": "206-713-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L RABER, CRNA, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "RABER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-774-8530"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "601 161 086 000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9603671",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesia Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Dougherty
• Donald Joseph Dougherty Jr.
• Roger Dougherty, PT
• Leana Marie Doughty
• Douglas H Louie MD PHD PS
• Douglas M. Hassan M D P S
• Christine Tat Douglas, MD
• Dean Kirk Douglas, PA-C
• Megan Douglas, LMP
• Katy Marie Dow, RN

• Certified Registered Nurse Anesthetist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.