| Jaclyn Whitney Short, | |
|
3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 | |
| (970) 420-5017 | |
| Not Available |
| Full Name | Jaclyn Whitney Short |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 3455 Sw Us Veterans Hospital Rd, Portland, 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 |
|---|---|---|---|
| 1699144774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 201801406CRNA-PP (Oregon) | Primary |
| 163W00000X | Registered Nurse | RN.0195636 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Adventhealth Parker | Parker, CO | Hospital |
| Hca Healthone Aurora | Aurora, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Denver Gastroenterology, P.c | 2062302508 | 54 |
| Us Anesthesia Partners Of Colorado Inc | 6002072055 | 472 |
| Hospitalist Medicine Physicians Of Washington - Tcs | 6800240102 | 197 |
| Entity Name | South Denver Gastroenterology, P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447364831 PECOS PAC ID: 2062302508 Enrollment ID: O20040317001558 |
| Entity Name | US Anesthesia Partners of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Whitney Short, 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239-3076 Ph: (970) 420-5017 | Jaclyn Whitney Short, 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Ph: (970) 420-5017 |
Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234 |
Austin W Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-257-2500 |
Magdalena Gregorczyk, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 034-944-9105 Fax: 503-494-8368 |
Mariame Bongo Sanoh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7725 |
Cecilia Bradford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-1111 |
Trevor Sawyer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7725 |
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321 |