Active NPI
Juanita Garnow, CRNA
- Certified Registered Nurse Anesthetist
- Tualatin, OR
National Provider Identifier
1093747537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 081047119CRNA
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122361 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 081047119RN | OR | MD | Registered Nurse |
| 081047119CRNA | OR | MD | Certified 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.