Active NPI
Annette Leeann Cole, GRNA
- Certified Registered Nurse Anesthetist
- Portland, OR
National Provider Identifier
1407986581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- L000512CRNA
- Practice address
- 9205 SW Barnes Rd
Portland, OR 97225-6603 - Phone
- (503) 203-2114
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- 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 | L000512CRNA | OR | Primary |
Addresses
Primary practice location
9205 SW Barnes Rd
Portland, OR 97225-6603
Mailing address
16617 SE East View CT
Portland, OR 97236-9338
Phone (503) 491-9074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L000512CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Legacy Mount Hood Medical Center | Current | Accepting new patients | |
| Legacy Mount Hood Medical Center | Current | Accepting new patients | |
| Lewis County Hospital District No. 1 | Current | Accepting new patients | |
| Lewis County Hospital District No. 1 | Current | Accepting new patients | |
| Oregon Anesthesiology Group PC | Current | Accepting new patients | |
| Lewis County Hospital District No 1 | Past | Accepting new patients |
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
707 SW Washington St
Ste 700
Portland, OR 97205
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Clinic/Center
- Gresham, OR
- NPI 1386919132
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
-
- Emergency Medicine Physician
- Morton, WA
- NPI 1205882909
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
-
- Rural Health Clinic/Center
- Packwood, WA
- NPI 1497466494
-
- Critical Access Hospital
- Morton, WA
- NPI 1154361814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407986581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16617 SE EAST VIEW CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972369338",
"telephone_number": "503-491-9074"
},
{
"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": "503-203-2114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "ANNETTE",
"middle_name": "LEEANN",
"name_prefix": "Ms.",
"credential": "GRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "L000512CRNA",
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.