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Organization
UNIVERSITY ANESTHESIOLOGY ASSOCIATES, LLC
Active
Organization
UNIVERSITY ANESTHESIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE SMITH (VP/ENTERPRISE REVENUE CYCLE)
(503) 494-4422
Entity
Organization
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE: SJH-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD UNIT 65, PORTLAND, OR 97239-3011
(503) 494-7246
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
NULL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
NULL
207LP3000X
Pediatric Anesthesiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287119
—
OR
Enumeration date
07/16/2006
Last updated
09/12/2025
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