Individual provider Active NPI

Lisa Michele McLain

  • Certified Registered Nurse Anesthetist
  • Portland, OR
National Provider Identifier
1649507377
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201260006CRNA Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-7725
NPI assigned
Nov 18, 2009
Last updated
Jul 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 201260006CRNA OR Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3736 SE Cora St
Portland, OR 97202-3238

Other names 1

  • Lisa Michele Hukkanen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140825000463 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214155860 Reassigns benefits to 4 organizations
I20201020002243 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214155860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians
Sage Anesthesia Services IncGroup PAC ID 1850718420, 5 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131

7191 S Yale Ave
Tulsa, OK 74136-6326
Phone (918) 693-2599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Oklahoma, PLLC CurrentSince Jan 12, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2016 Accepting new patients
On-Site Anesthesia Services Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 21, 2014 Accepting new patients
Metropolitan Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2014 Accepting new patients
Sage Anesthesia Services Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2025 Accepting new patients
Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2014 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Feb 15, 2016 Accepting new patients

Locations

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

7191 S Yale Ave
Tulsa, OK 74136
Phone (417) 782-6571

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707

1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137

1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

2480 Liberty St NE
Ste 120
Salem, OR 97301
Phone (503) 363-4355

6464 SW Borland Rd
Ste A3
Tualatin, OR 97062
Phone (503) 292-8614

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1649507377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 SE CORA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201260006CRNA",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HUKKANEN",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 25, 2014; 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.

Verify at the official NPI Registry.