Individual provider · Type 1 NPI

Jaime Gwen Fan

Certified Registered Nurse Anesthetist · Clackamas, OR

NPI number 1689569642 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X10055513 (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 1689569642

Jaime Gwen Fan's National Provider Identifier is 1689569642, issued on Jun 10, 2025. 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 Jun 15, 2026.