James Peterson, CRNA | |
10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
(503) 652-2880 | |
Not Available |
Full Name | James Peterson |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730281502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 200660029CRNA (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Entity Name | Anesthesia Associates Northwest Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
Entity Name | Metropolitan Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720387954 PECOS PAC ID: 2860662996 Enrollment ID: O20110829000644 |
Entity Name | Complete Anesthesia Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932464492 PECOS PAC ID: 7214187210 Enrollment ID: O20121029000661 |
Entity Name | Innovus Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619558350 PECOS PAC ID: 0446628507 Enrollment ID: O20221121001365 |
Mailing Address | Practice Location Address |
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James Peterson, CRNA 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: () - | James Peterson, CRNA 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 652-2880 |
Jessica Dawn Sexton-dorsett, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Natalie Christine Kramer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Linda Newbloom, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Kyle Bowling, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Kenneth E Allen, CRNA, MSA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Mrs. Heidi Egan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4698 | |
Mr. Craig G Kleiv, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-2617 |