Healthcare Provider Details

I. General information

NPI: 1215891155
Provider Name (Legal Business Name): ANESIQ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 LEVIN RD NW STE 102
SILVERDALE WA
98383-7849
US

IV. Provider business mailing address

1001 S MAIN ST STE 49
KALISPELL MT
59901-1498
US

V. Phone/Fax

Practice location:
  • Phone: 360-692-2728
  • Fax: 360-692-6009
Mailing address:
  • Phone: 808-419-1326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA KOSHEL
Title or Position: ANESTHESIOLOGIST
Credential: DO
Phone: 808-419-1326