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THREE OAKS ANESTHESIA LLC
NPI 1104586726
Anesthesiology in Albany, OR

Active since December 22, 2021
633 WAVERLY DR SE, ALBANY, OR 97322(541) 286-2309 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2025, Dec 30, 2024, Dec 22, 2021 (3 updates tracked since 2021).

About Three Oaks Anesthesia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THREE OAKS ANESTHESIA LLC (NPI 1104586726) is a healthcare organization registered as an anesthesiology in Albany, Oregon and active in the NPI registry since December 2021. The organization maintains a secondary practice location in Corvallis and lists Jared Dale Grose, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104586726
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameTHREE OAKS ANESTHESIA LLC
Location Address633 WAVERLY DR SEAlbany, OR 97322-5078
Mailing AddressPo Box 28Corvallis, OR 97339-0028 · (541) 704-7999
Phone(541) 286-2309
Organization SubpartNo
Authorized OfficialJared Dale GroseAuthorized Official · (541) 232-3491
Enumeration DateDecember 22, 2021
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1104586726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
633 WAVERLY DR SE, Albany, OR 97322
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Secondary Practice Location 1

Location 11128 NE 2nd StCorvallis, OR 97330-6230 · Phone (541) 286-2309

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Three Oaks Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Three Oaks Anesthesia LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Brendan Lawrence
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063151306
1046 6TH AVE SW
Albany, OR 97321
(541) 812-4000
✔ Accepts Medicare2.2 mi
Jared Grose, MD
Anesthesiology
NPI 1497913834
2773 NW 9TH ST
Corvallis, OR 97330
(541) 207-0910
✔ PECOS✔ Accepts Medicare9.2 mi
Kevan Stanton, M.D.
Anesthesiology
NPI 1457524548
1128 NE 2ND ST STE 103
Corvallis, OR 97330
(203) 507-0159
✔ PECOS✔ Accepts Medicare10 mi
Ryan Johanson, MD
Anesthesiology
NPI 1760672612
1128 NE 2ND ST STE 104
Corvallis, OR 97330
(541) 602-6211
✔ PECOS✔ Accepts Medicare10 mi
Justin Braukman, DO
Anesthesiology
NPI 1215966841
707 SW WASHINGTON ST STE 700
Portland, OR 97205
(503) 299-9906
✔ PECOS✔ Accepts Medicare64 mi
Fred Volk, DO
Anesthesiology
NPI 1124037841
707 SW WASHINGTON ST STE 700
Portland, OR 97205
(503) 299-9906
✔ PECOS✔ Accepts Medicare64 mi
Skyler Saunders
Anesthesiology
NPI 1952930125
1050 E SOUTH TEMPLE
Salt Lake City, UT 84102
(801) 350-4111
✔ PECOS✔ Accepts Medicare629 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Three Oaks Anesthesia LLC's NPI number?

The NPI number for Three Oaks Anesthesia LLC is 1104586726. It was assigned to this organization in the NPPES registry on December 22, 2021.

Where is Three Oaks Anesthesia LLC located?

Three Oaks Anesthesia LLC is located at 633 Waverly Dr SE, Albany, OR 97322. The listed phone number is (541) 286-2309.

What is Three Oaks Anesthesia LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Three Oaks Anesthesia LLC enrolled in Medicare?

Yes. Three Oaks Anesthesia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Three Oaks Anesthesia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Three Oaks Anesthesia LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (6) and Certified Registered Nurse Anesthetist (CRNA) (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Three Oaks Anesthesia LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.