Daniel Paul Addy, C.R.N.A.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Portland, OR
NPI 1003929795 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1003929795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Practice address
- 9205 SW Barnes Rd
Portland, OR 97225-6603 - Phone
- (503) 216-1234
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084058183CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | OR | Yes |
Addresses
Primary practice location
9205 SW Barnes Rd
Portland, OR 97225-6603
Mailing address
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234
Other providers in Portland, OR
- Addictions Northwest, LLC
- Rawz Addison
- Susan E Addison
- Ofori Addo
- Daniel Addy
- Peter H Addy
- Ramata Kazadi Adebawo
- Temitope Elizabeth Adebayo
- Adebimpe Adebowale
- Adedamola Adedokun
All providers in Portland, OR · Certified Registered Nurse Anesthetist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.