Mr Giordan Dolan-umipig, | |
3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 | |
(360) 720-0906 | |
Not Available |
Full Name | Mr Giordan Dolan-umipig |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3455 Sw Us Veterans Hospital Rd, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134730088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 202003418RN (Oregon) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP61468260 (Washington) | Primary |
Entity Name | Anesthesia Associates Northwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20161115001177 |
Mailing Address | Practice Location Address |
---|---|
Mr Giordan Dolan-umipig, 2031 Sw 10th Ave Apt 310, Portland, OR 97201-3567 Ph: (360) 720-0906 | Mr Giordan Dolan-umipig, 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 Ph: (360) 720-0906 |
Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234 | |
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321 | |
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884 | |
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661 | |
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 | |
Stephen John Yermal, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1111 Ne 99th Ave, Suite 302, Portland, OR 97220 Phone: 503-963-2763 |