| Rebecca Lynne Graniti, CRNA | |
|
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
| (503) 494-7641 | |
| (503) 494-8368 |
| Full Name | Rebecca Lynne Graniti |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 3181 Sw Sam Jackson Park 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 |
|---|---|---|---|
| 1902873417 | NPI | - | NPPES |
| 430F364420 | Other | MI | BCBSM |
| 4790407 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704143413 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201260032CRNA (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 | Willamette Valley Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790740520 PECOS PAC ID: 6103729314 Enrollment ID: O20040127000785 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Lynne Graniti, CRNA 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7641 | Rebecca Lynne Graniti, CRNA 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7641 |
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 | |
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: Not Enrolled in Medicare 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 | |
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884 | |
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661 |