Praestantia Associates, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

099007496CRNA Issued in OR

Legal business name

PRAESTANTIA ASSOCIATES, LLC

Practice address

9701 SW Barnes Rd
Suite 150
Portland, OR 97225-6772

Phone

(503) 734-3700

Fax

(503) 734-8462

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael Wray, CRNA

Title

Owner/Partner

Phone

(503) 893-4271

Specialties & licenses 1

Addresses

Other names 1

• Comprehensive Anesthesia Services Other name

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1326314196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WILLAGILLESPIE RD",
            "address_2": "SUITE 350",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012178",
            "telephone_number": "855-610-0952",
            "fax_number": "541-343-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 SW BARNES RD",
            "address_2": "SUITE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256772",
            "telephone_number": "503-734-3700",
            "fax_number": "503-734-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAESTANTIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "503-893-4271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "099007496CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Anesthesia Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ajay Bahadur Pradhan, DO
• Wendy Iliana Prado-Angeles
• Antonio Prado, DO
• Edward Prado, QMHA-R
• Tiffany Dawn Prado, DACM, L.AC.
• Emily Prag
• Pragmatic Healing LLC
• Varsha Prakash, MD
• Katia Pramono
• Wijan Prapong, M.D.

• Certified Registered Nurse Anesthetist in Portland, OR
• Providers in Portland, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.