Four Rivers Anesthesia PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

096007764CRNA Issued in OR

Legal business name

FOUR RIVERS ANESTHESIA PC

Practice address

351 SW 9TH St
Ontario, OR 97914

Phone

(541) 889-5331

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Ohara, CRNA

Title

Owner

Phone

(208) 642-9293

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1801097407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR",
            "address_2": "#241",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212432",
            "telephone_number": "503-297-7223",
            "fax_number": "503-297-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 SW 9TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "97914",
            "telephone_number": "541-889-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR RIVERS ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "OHARA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-642-9293",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "096007764CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Camille Fontenette, MD
• Foot & Ankle Clinic PC
• Stephen Ford
• Katie Rene Foster
• Foundation Services Group, Inc
• Four Rivers Correctional Pharmacy
• Four Rivers Healthcare Clinic
• Four Rivers Recovery
• Emily McKenna Fox
• John Jay Frank, FNP

• Certified Registered Nurse Anesthetist in Ontario, OR
• Providers in Ontario, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.