Kenneth C Carey, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Seaside, OR
NPI 1366614976 · NPPES record last updated Mar 24, 2008
Key facts
- NPI
- 1366614976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Practice address
- 725 S Wahanna Rd
Seaside, OR 97138-7735 - Phone
- (503) 717-7462
- Fax
- (503) 717-7476
- NPI assigned
- Mar 24, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087007000CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | OR | Yes |
Addresses
Primary practice location
725 S Wahanna Rd
Seaside, OR 97138-7735
Mailing address
PO Box 3397
Portland, OR 97208-3397
Other providers in Seaside, OR
- Amber Bowman
- Cheryl A Boyett
- Braden Partners LP
- Titus William Burbridge
- Jacob Douglas Callahan
- Zachary Caverley
- Jeffrey Chow
- City of Seaside
- Coastal Breeze Recovery, LLC
- Coda, Inc.
All providers in Seaside, OR · Certified Registered Nurse Anesthetist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.