Individual provider Active NPI

Charles Christopher Daniels, CRNA

  • Certified Registered Nurse Anesthetist
  • Vancouver, WA
National Provider Identifier
1699026716
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60465497 Issued in WA
Practice address
505 NE 87TH Ave
Suite 46.5
Vancouver, WA 98664-1989
Phone
(360) 828-5396
Fax
(360) 828-5455
NPI assigned
Sep 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 AP60465497 WA Primary
Certified Registered Nurse Anesthetist 367500000X 5494384-3102 UT

Addresses

Primary practice location

505 NE 87TH Ave
Suite 46.5
Vancouver, WA 98664-1989

Mailing address

505 NE 87TH Ave
Suite 46.5
Vancouver, WA 98664-1989
Phone (360) 828-5396

Other practice location 1

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541

Other practice location 2

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140822001225 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002060282 Reassigns benefits to 4 organizations
I20170329000265 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002060282 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Anesthesia Group P SGroup PAC ID 8426954322, 71 clinicians
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians
PeacehealthGroup PAC ID 5890689293, 188 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (360) 828-5396

1508 Division St
Suite 15
Oregon City, OR 97045-1583
Phone (503) 692-4537

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814

400 NE Mother Joseph Place
Vancouver, WA 98664-3200
Phone (360) 256-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5494384-3102UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Dec 4, 2025 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Mar 1, 2025 Accepting new patients
Oregon Anesthesiology Group PC CurrentSince Dec 27, 2023 Accepting new patients
Columbia Anesthesia Group P S CurrentSince Jul 20, 2014 Accepting new patients
Public Hospital District #1-a of Whitman County Current Accepting new patients
On-Site Anesthesia Services Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 14, 2017 Accepting new patients
Premier Anesthesia of Oregon PC CurrentSince Dec 15, 2023 Accepting new patients
Central Wisconsin Anesthesiology Past Accepting new patients

Locations

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

1508 Division St
Ste 15
Oregon City, OR 97045
Phone (503) 657-5555

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

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

7300 SW Childs Rd
Ste A
Tigard, OR 97224
Phone (360) 828-5396

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

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1699026716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE",
            "address_2": "SUITE 46.5",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641989",
            "telephone_number": "360-828-5396",
            "fax_number": "360-828-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE",
            "address_2": "SUITE 46.5",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641989",
            "telephone_number": "360-828-5396",
            "fax_number": "360-828-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 SE Bishop Blvd",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991635512",
            "country_code": "US",
            "telephone_number": "509-332-2541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-2000",
            "fax_number": "360-414-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CHARLES",
        "middle_name": "CHRISTOPHER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60465497",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "5494384-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.