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NORTHWEST MOBILE ANESTHESIA GROUP, PLLC
NPI 1225289838
Clinic/Center - Ambulatory Surgical in Ridgefield, WA

Active since October 02, 2008
17307 NE 32ND AVE, RIDGEFIELD, WA 98642(360) 727-8044(360) 727-7924 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northwest Mobile Anesthesia Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST MOBILE ANESTHESIA GROUP, PLLC (NPI 1225289838) is a healthcare organization registered as an ambulatory surgical in Ridgefield, Washington and active in the NPI registry since October 2008. The organization lists Bonnie Song, Owner, as its authorized official.

NPPES Registry Identity

NPI1225289838
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHWEST MOBILE ANESTHESIA GROUP, PLLC
Location Address17307 NE 32ND AVERidgefield, WA 98642-7972
Mailing Address17307 Ne 32nd AveRidgefield, WA 98642-7972 · (360) 727-8044 · Fax (360) 727-7924
Phone(360) 727-8044
Fax(360) 727-7924
Organization SubpartNo
Authorized OfficialBonnie SongOwner · (360) 727-8044
Enumeration DateOctober 2, 2008
✔ NPI 1225289838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Licenses✔ Licensed in WA · MD00046439✔ Licensed in OR · MD28387
17307 NE 32ND AVE, Ridgefield, WA 98642
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Other Identifiers 1

Medicaid1124577WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Mobile Anesthesia Group, PLLC's NPI number?

The NPI number for Northwest Mobile Anesthesia Group, PLLC is 1225289838. It was assigned to this organization in the NPPES registry on October 2, 2008.

Where is Northwest Mobile Anesthesia Group, PLLC located?

Northwest Mobile Anesthesia Group, PLLC is located at 17307 NE 32nd Ave, Ridgefield, WA 98642. The listed phone number is (360) 727-8044.

What is Northwest Mobile Anesthesia Group, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Northwest Mobile Anesthesia Group, PLLC was last updated on October 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.