# ANESTHESIA ASSOCIATES NORTHWEST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548281751
- **Authorized official:** SHAUN DEREMER MD (MANAGER)
- **Authorized official phone:** (954) 545-0337

## Contact information

- **Practice address:** 10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
- **Practice address phone:** (503) 513-8300
- **Mailing address:** PO BOX 2817, PORTLAND, OR 97208-2817
- **Mailing address phone:** (954) 545-0337
- **Mailing address fax:** (954) 545-3497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | UNK | NULL | Yes |
| 207L00000X | Anesthesiology Physician | UNK | — | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 12/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 213409 | — | OR |
| 01 | — | 611612700 | WORKMANS COMP | OR |
| 01 | — | 865351000 | BLUE CROSS | OR |
| 01 | — | DD8686 | RAILROAD MEDICARE | OR |