Active NPI
Jonathan Crandall, CRNA
- Certified Registered Nurse Anesthetist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201600864
- Practice address
- 3181 SW Sam Jackson Park Road
Ohsu Hospital
Portland, OR 97239 - Phone
- (503) 494-8311
- NPI assigned
- Sep 19, 2012
- Last updated
- Oct 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 201600864 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Road
Ohsu Hospital
Portland, OR 97239
Mailing address
1950 Mount Pleasant Rd
Kelso, WA 98626-9220
Phone (208) 310-1149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, MA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Lutheran Charities
Practice addresses (Care Compare)
2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321
47 Middlesex Tpke
Burlington, MA 01803-4945
Phone (857) 282-8100
81 Highland Ave
Salem, MA 01970-2714
Phone (617) 726-4121
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201600864 | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Anesthesiology Group, PC | Current | Accepting new patients | |
| Mass General Brigham Medical Group, Inc. | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Virginia Mason Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Columbia Anesthesia Group P S | Current | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
47 Middlesex Tpke
Burlington, MA 01803
Phone (857) 282-8100
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
625 9th Ave
Ste 150
Longview, WA 98632
Phone (360) 442-7900
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Columbia Memorial Hospital
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
dba Columbia Memorial Hospital
- Surgery Physician
- Astoria, OR
- NPI 1821254129
-
dba Legacy Silverton Medical Center
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
dba APHMFP-Radiology
- Diagnostic Radiology Physician
- Milton, MA
- NPI 1245773308
-
- Anesthesiology Physician
- Vancouver, WA
- NPI 1861448235
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Clinic/Center
- Keizer, OR
- NPI 1508294513
-
dba APHMFP-Anesthesia
- Anesthesiology Physician
- Plymouth, MA
- NPI 1568859643
-
dba Associated Physicians of HMFP
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Anesthesiology Physician
- Longview, WA
- NPI 1003894957
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Columbia Memorial Hospital
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
dba CMH Cardiology Clinic
- Cardiovascular Disease Physician
- Astoria, OR
- NPI 1629378880
Hospital
-
- Critical Access Hospital
- Astoria, OR
- NPI 1700809761
-
dba Columbia Memorial Hospital
- Surgery Physician
- Astoria, OR
- NPI 1821254129
Hospital
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1346591179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 MOUNT PLEASANT RD",
"city": "KELSO",
"state": "WA",
"postal_code": "986269220",
"telephone_number": "208-310-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK ROAD",
"address_2": "OHSU HOSPITAL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANDALL",
"first_name": "JONATHAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201600864",
"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 Oct 26, 2021; 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.