Individual provider Active NPI

Juanita Garnow, CRNA

  • Certified Registered Nurse Anesthetist
  • Tualatin, OR
National Provider Identifier
1093747537
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
081047119CRNA Issued in OR
Practice address
6464 SW Borland Rd
Suite A3
Tualatin, OR 97062-8876
Phone
(971) 404-3366
Fax
(971) 404-3377
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 081047119RN OR
Certified Registered Nurse Anesthetist 367500000X 081047119CRNA OR Primary

Addresses

Primary practice location

6464 SW Borland Rd
Suite A3
Tualatin, OR 97062-8876

Mailing address

1830 Blankenship Rd
Suite 200
West Linn, OR 97068-4181
Phone (503) 655-3851

Other identifiers 1

IdentifierTypeStateIssuer
122361MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
081047119RNORMDRegistered Nurse
081047119CRNAORMDCertified Registered Nurse Anesthetist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1093747537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLANKENSHIP RD",
            "address_2": "SUITE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684181",
            "telephone_number": "503-655-3851",
            "fax_number": "503-655-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD",
            "address_2": "SUITE A3",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628876",
            "telephone_number": "971-404-3366",
            "fax_number": "971-404-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNOW",
        "first_name": "JUANITA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "081047119RN",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "081047119CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122361",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.