Individual provider Active NPI

Candace Dauphinais, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, OR
National Provider Identifier
1205946381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
87006375CRNA Issued in OR
Practice address
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone
(503) 216-7340
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 87006375CRNA OR Primary

Addresses

Primary practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Mailing address

1492 Worthington St
Lake Oswego, OR 97034-6128
Phone (503) 699-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000620 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678656097 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthetic Solutions IncGroup PAC ID 4587901129, 4 clinicians
Metropolitan Anesthesia LLCGroup PAC ID 2860662996, 29 clinicians

Practice addresses (Care Compare)

12050 SE Stevens Rd
Suite 400
Happy Valley, OR 97086-7667
Phone (971) 206-6100

9701 SW Barnes Rd
Suite 300
Portland, OR 97225-6689
Phone (503) 297-8081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
87006375CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Oregon PC CurrentSince Dec 21, 2023 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince May 19, 2011 Accepting new patients
Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2016 Accepting new patients
Anesthetic Solutions, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
Metropolitan Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2022 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1333 E Barnett Rd
Medford, OR 97504
Phone (541) 779-4711

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

12050 SE Stevens Rd
Ste 400
Portland, OR 97086
Phone (971) 206-6100

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137

1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707

13240 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 639-6571

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205946381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 WORTHINGTON ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970346128",
            "telephone_number": "503-699-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256603",
            "telephone_number": "503-216-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUPHINAIS",
        "first_name": "CANDACE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "87006375CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.