Healthcare Provider Details

I. General information

NPI: 1871414110
Provider Name (Legal Business Name): DENNIS KARNAUKH RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 NE MOTHER JOSEPH PL
VANCOUVER WA
98664-3200
US

IV. Provider business mailing address

12606 NE 115TH WAY
VANCOUVER WA
98682-8705
US

V. Phone/Fax

Practice location:
  • Phone: 360-514-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SE0003X
TaxonomyEmergency Clinical Nurse Specialist
License NumberRN.RN.61154932
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: