Individual
MR. WILLIAM C. WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6400 SE LAKE RD STE 130, PORTLAND, OR 97222-2129
(503) 594-1774
(503) 594-1775
Mailing address
CMR 402 BOX 1852, APO, AE 09180-0019
011491728253813
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201260035CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
28267047A
IN
Other
Enumeration date
01/27/2006
Last updated
11/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us