Paul S. Palmer, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

093006722CRNA Issued in OR

Practice address

3043 NE 28TH St
Lincoln City, OR 97367-4518

Phone

(541) 996-7152

Fax

(541) 996-7120

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1346360609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 NE 28TH ST",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674518",
            "telephone_number": "541-996-7152",
            "fax_number": "541-996-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 NE 28TH ST",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674518",
            "telephone_number": "541-996-7152",
            "fax_number": "541-996-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "PAUL",
        "middle_name": "S.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "093006722CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Endodontics
• Oregon Urology Clinic, P.C.
• Darell Dean Orton, M.D.
• Sharon Lynn Padilla
• Mary Ann G Palmer, AP60586141
• Devon D Peterson, CRNA
• Minh Ha Thi Phan
• Abigail Pittard, MD
• Portland Vamc
• Margaret A Portwood

• Certified Registered Nurse Anesthetist in Lincoln City, OR
• Providers in Lincoln City, 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 6, 2013; 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.