COLUMBIA GORGE ANESTHESIA LLC
NPI 1669819652
Nurse Anesthetist, Certified Registered in The Dalles, OR

Active since May 30, 2013
1020 WEBBER ST, THE DALLES, OR 97058(541) 769-0426(541) 769-0431 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Columbia Gorge Anesthesia Llc NPPES

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

COLUMBIA GORGE ANESTHESIA LLC (NPI 1669819652) is a healthcare organization registered as a nurse anesthetist, certified registered in The Dalles, Oregon and active in the NPI registry since May 2013. The organization lists David C Bullock, President, as its authorized official.

NPPES Registry Identity

NPI1669819652
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameCOLUMBIA GORGE ANESTHESIA LLC
Location Address1020 WEBBER STThe Dalles, OR 97058-3749
Mailing Address210 N Tustin AveSanta Ana, CA 92705-3807 · (714) 347-1010 · Fax (714) 647-1245
Fax(541) 769-0431
Organization SubpartNo
Authorized OfficialDavid C BullockPresident · (714) 347-1010
Enumeration DateMay 30, 2013
Last NPPES UpdateMarch 4, 2014
NPI 1669819652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in OR · 200860006CRNA
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1020 WEBBER ST, The Dalles, OR 97058

Other Identifiers 2

Medicare PINDU3109OR
Medicare PINR172172OR

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1020 WEBBER ST
THE DALLES, OR 97058
Clinic/Center (Ambulatory Surgical)
1020 WEBBER ST
THE DALLES, OR 97058
Nurse Anesthetist, Certified Registered
1020 WEBBER ST
THE DALLES, OR 97058

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 Columbia Gorge Anesthesia LLC's NPI number?

The NPI number for Columbia Gorge Anesthesia LLC is 1669819652. It was assigned to this organization in the NPPES registry on May 30, 2013.

Where is Columbia Gorge Anesthesia LLC located?

Columbia Gorge Anesthesia LLC is located at 1020 Webber St, The Dalles, OR 97058. The listed phone number is (541) 769-0426.

What is Columbia Gorge Anesthesia LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Columbia Gorge Anesthesia LLC was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.