Provider Demographics
NPI:1619990157
Name:POASTER, ROBERT D (CRNA)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:POASTER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1506
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-0409
Mailing Address - Country:US
Mailing Address - Phone:360-242-3008
Mailing Address - Fax:360-807-7687
Practice Address - Street 1:2517 NE KRESKY AVE
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-2409
Practice Address - Country:US
Practice Address - Phone:360-748-8632
Practice Address - Fax:360-748-3869
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA038545367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2115348Medicaid
WA430059746OtherRAILROAD MEDICARE PIN
WA430019834OtherRAILROAD MEDICARE PIN
WA430061703OtherRAILROAD MEDICARE
WA430059746OtherRAILROAD MEDICARE PIN
WAG000985518Medicare PIN
WAG000355077Medicare PIN
WAG000165122Medicare PIN
WAG000686619Medicare PIN
WAGAB17222Medicare PIN
WAG8855741Medicare PIN