Active NPI
Douglas A Nasstrom, CRNA
- Certified Registered Nurse Anesthetist
- Coos Bay, OR
National Provider Identifier
1760435820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Practice address
- 1775 Thompson Rd
Coos Bay, OR 97420-2125 - Phone
- (541) 269-8020
- NPI assigned
- May 18, 2006
- 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 | OR | Primary |
Addresses
Primary practice location
1775 Thompson Rd
Coos Bay, OR 97420-2125
Mailing address
PO Box 349
1860 Virginia Avenue, Ste 9
North Bend, OR 97459-0106
Phone (541) 756-2070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027910 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321
Hospital & facility affiliations
- Columbia Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 62.39
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200460037CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Bay Group Anesthesia Services, PC | Past | Accepting new patients |
Locations
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
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.
-
- Surgery Physician
- Astoria, OR
- NPI 1821254129
-
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
- Community/Retail Pharmacy
- Astoria, OR
- NPI 1093003667
-
- Critical Access Hospital
- Astoria, OR
- NPI 1700809761
-
- Anesthesiology Physician
- Coos Bay, OR
- NPI 1619920014
-
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
-
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
- Critical Access Hospital
- Astoria, OR
- NPI 1700809761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760435820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 349",
"address_2": "1860 VIRGINIA AVENUE, STE 9",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974590106",
"telephone_number": "541-756-2070",
"fax_number": "541-756-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 THOMPSON RD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202125",
"telephone_number": "541-269-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSTROM",
"first_name": "DOUGLAS",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027910",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.