Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore W Bogsrud, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1215968961

Theodore W Bogsrud, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Spokane Valley, Washington. Qualified in 1986, 40 years ago. Practices with Pacific Cataract and Laser Institute Inc PC, a 76-clinician group and accepts Medicare assignment. Licensed in Idaho, Montana and Washington.

Years since qualifying
40
Licensed in
ID, MT, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

16818 E Desmet Ct
Spokane Valley, WA 99216-3542
Phone: (509) 456-5380
Fax: (509) 456-5381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP30004818 (WA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 28189 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence NUR-RN-LIC-101109 (MT)

Record details

NPI number1215968961
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Pacific Cataract And Laser Institute Inc Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Spokane Valley