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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHANDRA M KOWALCZYK, CRNA

Active

CHANDRA M KOWALCZYK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PORTLAND, Oregon. NPI 1073790507 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · PORTLAND, OR

Registration Details

NPI Number
1073790507
Provider Type
Individual
Gender
Female
NPI Issued
Jan 28, 2008 (18.537528899144 yrs)
Last Updated
Nov 29, 2021
Licenses
132544 (OK)
0024167700 (VA)
0001210584 (VA)
202106428CRNA-PP (OR)

Practice Information

Address
3181 SAM JACKSON PARK RD
PORTLAND, OR, 972393011
Browse OR providers · Browse ZIP 97239
Phone
5034947641
Fax
5034948368
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in PORTLAND, OR

Name Credential NPI
MS. SUSAN I VANGORDER CRNA 1487653796
MR. CHARLES MALCOLM MCDANNALD III CRNA 1518951367
KENDALL L. SNOW CRNA 1659357036
MS. JAMIE D ST MARK CRNA 1356327464
MR. WILLIAM C. WHITACRE CRNA 1588635635
MR. GABRIEL L ARON CRNA 1699746305
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.