Theodore W Bogsrud is a Spokane Valley, Washington based nurse anesthetist with 39 years of experience as Anesthesia Administration. He completed he graduation in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Theodore W Bogsrud is AP30004818 for Anesthesia Administration in Washington. his current practice location is 16818 E Desmet Ct, Spokane Valley. Patients can reach him at 509-456-5380 or can fax him at 509-456-5381. Theodore W Bogsrud is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1215968961.
Theodore W Bogsrud is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Theodore W Bogsrud speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Experience: | 39+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1986 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 16818 E Desmet Ct, Spokane Valley,
Washington, 99216-3542 |
| Phone: | 509-456-5380 |
| Fax: | 509-456-5381 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6103814538 |
| Enrollment ID: | I20040504001480 |
| NPI Number: | 1215968961 |
| NPI Enumeration Date: | 05 Jul, 2006 |
| NPI Last Update On: | 18 Nov, 2020 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodore W Bogsrud are as mentioned below.
| License Number | Specialization | State | Status | |
| AP30004818 | Anesthesia Administration | Washington | Primary | |
| 28189 | Anesthesia Administration | Idaho | Secondary | |
| NUR-RN-LIC-101109 | Anesthesia Administration | Montana | Secondary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Theodore W Bogsrud has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Pacific Cataract And Laser Institute Inc Pc (7517864119) | 64 |
| Pacific Cataract And Laser Institute Inc Pc (7517864119) | 64 |
| Pacific Cataract And Laser Institute Inc Pc (7517864119) | 64 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Theodore W Bogsrud such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 430044217 | Other | Washington | RAILROAD MEDICARE |
| 9630542 | Medicaid | Washington | |
| 430061770 | Other | Washington | RAILROAD MEDICARE |
| P00335315 | Other | Montana | RAILROAD MEDICARE |
| 430048398 | Other | Washington | RAILROAD MEDICARE |
| M011002649 | Other | Montana | MEDICARE MT |
| 1204355 | Other | Idaho | MEDICARE ID |
| 430062516 | Other | Idaho | RAILROAD MEDICARE |
| NM302933 | Other | New Mexico | MEDICARE NM |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2517 Ne Kresky Ave,
Chehalis, Washington |
| Zip: | 98532-2409 |
| Phone Number: | 360-242-3008 |
| Fax Number: | 360-807-7687 |
Patients can reach Theodore W Bogsrud at
16818 E Desmet Ct, Spokane Valley, Washington or can
call to book an appointment on 509-456-5380.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.