| Kayla L Pennington, RN, BSN, MS, CRNA | |
|
20154 Sw Tillamook Ct, Tualatin, OR 97062-9176 | |
| (503) 803-0560 | |
| Not Available |
| Full Name | Kayla L Pennington |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 20154 Sw Tillamook Ct, Tualatin, 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 |
|---|---|---|---|
| 1982840138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 200541035RN (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 20116009CRNA (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Anesthesiology Associates Llc | 6901702869 | 235 |
| Entity Name | University Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841217817 PECOS PAC ID: 6901702869 Enrollment ID: O20031210000967 |
| Entity Name | Columbia Anesthesia Group P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861448235 PECOS PAC ID: 8426954322 Enrollment ID: O20040316000861 |
| 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 | Oregon Pain Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679936579 PECOS PAC ID: 4183902695 Enrollment ID: O20161102002967 |
| 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 |
|---|---|
| Kayla L Pennington, RN, BSN, MS, CRNA 20154 Sw Tillamook Ct, Tualatin, OR 97062-9176 Ph: () - | Kayla L Pennington, RN, BSN, MS, CRNA 20154 Sw Tillamook Ct, Tualatin, OR 97062-9176 Ph: (503) 803-0560 |