Gregg Michael White, CRNA | |
10150 Se 32nd Ave, Milwaukie, OR 97222 | |
(503) 513-8300 | |
Not Available |
Full Name | Gregg Michael White |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 10150 Se 32nd Ave, Milwaukie, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477581825 | NPI | - | NPPES |
100440 | Medicaid | OR | |
865351001 | Other | OR | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 200360037CRNA (Oregon) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 097000628RN (Oregon) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Gregg Michael White, CRNA P.o. Box 2817, Portland, OR 97208 Ph: (954) 545-0337 | Gregg Michael White, CRNA 10150 Se 32nd Ave, Milwaukie, OR 97222 Ph: (503) 513-8300 |
Rachael Scoones, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3006 Se Van Waters St, Milwaukie, OR 97222 Phone: 503-819-9811 | |
Brian Schapansky, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8318 | |
Sue F Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8318 | |
Julia Watts Schafer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 828-513-8300 | |
Gregory Snyder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8300 | |
Jonathan N Roth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8318 |