Healthcare Provider Details

I. General information

NPI: 1447212519
Provider Name (Legal Business Name): LORI RENEE OLANDER C.R.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LORI RENEE CAHILL C. R. N. A.

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 S BERNARD ST # 200
SPOKANE WA
99204-2509
US

IV. Provider business mailing address

427 S BERNARD ST # 200
SPOKANE WA
99204-2509
US

V. Phone/Fax

Practice location:
  • Phone: 509-456-8150
  • Fax: 509-455-9887
Mailing address:
  • Phone: 509-456-8150
  • Fax: 509-455-9887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00148861
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP30006487
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRNA-550
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN-32008
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: