Individual provider · Type 1 NPI

Cody Crockett

Certified Registered Nurse Anesthetist · Portland, OR

NPI number 1306523840 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-7641 Map

Fax (503) 494-4661

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 3455 SW US Veterans Hospital Rd, Portland, OR 97239-3076 · (503) 494-7725

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X10064069 (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 1306523840

Cody Crockett's National Provider Identifier is 1306523840, issued on Jun 28, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Portland, OR. The record was last updated on Sep 22, 2026.