Provider Demographics
NPI:1902413438
Name:CAREPOINT ANESTHESIA
Entity Type:Organization
Organization Name:CAREPOINT ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEGG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-828-7288
Mailing Address - Street 1:3920 S LONG LN
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:WA
Mailing Address - Zip Code:99016-8833
Mailing Address - Country:US
Mailing Address - Phone:509-838-7288
Mailing Address - Fax:509-463-3635
Practice Address - Street 1:3920 S LONG LN
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:WA
Practice Address - Zip Code:99016-8833
Practice Address - Country:US
Practice Address - Phone:509-838-7288
Practice Address - Fax:509-463-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty