Individual provider · Type 1 NPI

Kellen Taverniti Martyn, CRNA

Certified Registered Nurse Anesthetist · Clackamas, OR

NPI number 1255637237 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Mailing address

1950 SW Camelot Ct Apt 503
Portland, OR 97225-3754

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X200541945RN (OR)
Certified Registered Nurse Anesthetist Primary 367500000X201160010CRNA (OR)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1255637237

Kellen Taverniti Martyn, CRNA's National Provider Identifier is 1255637237, issued on Feb 8, 2011. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Clackamas, OR. The record was last updated on Feb 11, 2011.