Individual provider · Type 1 NPI

Mark Andreyevich Bobrovnikov, CRNA

Certified Registered Nurse Anesthetist · Centralia, WA

NPI number 1962129775 Active

Practice location

914 S Scheuber Rd
Centralia, WA 98531-9027

Mailing address

6400 SE Lake Rd Ste 300
Portland, OR 97222-2129

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XAP70080711 (WA)

Certified Registered Nurse Anesthetist: (1) A licensed 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 creden…

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About NPI 1962129775

Mark Andreyevich Bobrovnikov, CRNA's National Provider Identifier is 1962129775, issued on Oct 24, 2022. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Centralia, WA. The record was last updated on Jan 12, 2026.