| Andrea L Johnson, CRNA | |
|
17720 Jean Way Ste 100, Lake Oswego, OR 97035-5575 | |
| (888) 209-0305 | |
| (952) 442-3688 |
| Full Name | Andrea L Johnson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 17720 Jean Way Ste 100, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982663357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 159670-4 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthetic Solutions Inc | 4587901129 | 6 |
| Entity Name | On-site Anesthesia Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669417176 PECOS PAC ID: 7214820448 Enrollment ID: O20040203000503 |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Entity Name | Metropolitan Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720387954 PECOS PAC ID: 2860662996 Enrollment ID: O20110829000644 |
| Entity Name | Complete Anesthesia Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932464492 PECOS PAC ID: 7214187210 Enrollment ID: O20121029000661 |
| Entity Name | Anesthetic Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477022259 PECOS PAC ID: 4587901129 Enrollment ID: O20190121001182 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea L Johnson, CRNA 400 10th St E, Waconia, MN 55387-4552 Ph: (888) 209-0305 | Andrea L Johnson, CRNA 17720 Jean Way Ste 100, Lake Oswego, OR 97035-5575 Ph: (888) 209-0305 |
Kimberly Joyce Ronhovdee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 696 5th St, Lake Oswego, OR 97034 Phone: 503-545-4835 |