Blankenship, Jason Anthony
Blankenship, Jason Anthony is an individual health care provider with primary practice located at 2205 Ne 129Th St , Vancouver WA 98686-3252. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Blankenship, Jason Anthony can be contacted via phone (360) 694-2544.Contact Information
Primary practice address
2205 Ne 129Th St
Vancouver WA 98686-3252
Phone: (360) 694-2544
Fax: (360) 694-1356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 200440093RN | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 201160007CRNA | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 63699 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP60800275 | Washington |
Profile Details
| NPI number | 1942411848 |
|---|---|
| LBN Legal business name | Blankenship, Jason Anthony |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Nov 18th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942411848 | NPPES |
| Washington | MEDICAID | 2016141 | |
| Washington | Other | G8988520 | |
| Washington | Other | G8988521 | |
| Washington | MEDICAID | 500632648 | |
| Washington | Other | G8988519 | |
| Washington | Other | G8988518 | |
| Washington | Other | R206321 |
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