Provider Demographics
NPI:1033070156
Name:RAGASSA, GURMU DHAAYE (RN, BSN)
Entity type:Individual
Prefix:
First Name:GURMU
Middle Name:DHAAYE
Last Name:RAGASSA
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 NW 15TH WAY
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-4186
Mailing Address - Country:US
Mailing Address - Phone:360-723-0456
Mailing Address - Fax:360-723-0248
Practice Address - Street 1:2511 NW 15TH WAY
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-4186
Practice Address - Country:US
Practice Address - Phone:360-723-0456
Practice Address - Fax:360-723-0248
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA70003788163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty