| Jessalynn D Lasike, DNP | |
|
2865 Daggett Ave, Klamath Falls, OR 97601-1106 | |
| (208) 251-1140 | |
| Not Available |
| Full Name | Jessalynn D Lasike |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2865 Daggett Ave, Klamath Falls, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407668429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 10035358 (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 |
|---|---|
| Jessalynn D Lasike, DNP 6400 Se Lake Rd Ste 300, Portland, OR 97222-2129 Ph: (208) 251-1140 | Jessalynn D Lasike, DNP 2865 Daggett Ave, Klamath Falls, OR 97601-1106 Ph: (208) 251-1140 |
Stanley Owusu Danso, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 | |
Linda L Callahan, R.N., CRNA, PMHNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 409 Pine St Ste 200, Klamath Falls, OR 97601 Phone: 541-887-8103 | |
James K King, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 | |
Zachary Davies, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 |