Individual
DAVID ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-8368
Mailing address
3601 SW RIVER PKWY UNIT 1000, PORTLAND, OR 97239-4557
(843) 801-3015
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201260021
OR
367500000X
Certified Registered Nurse Anesthetist
46012
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0713
—
SC
01
—
P00078405
RR MEDICARE
SC
Enumeration date
06/12/2006
Last updated
03/17/2018
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